Adjusting for risk selection in state health insurance exchanges will be critically important and feasible, but not easy

JP Weiner, E Trish, C Abrams, K Lemke - Health Affairs, 2012 - healthaffairs.org
The Affordable Care Act calls for the establishment of state-level health insurance
exchanges. The viability and success of these exchanges will require effective risk …

Risk adjustment, reinsurance improved financial outcomes for individual market insurers with the highest claims

PD Jacobs, ML Cohen, P Keenan - Health Affairs, 2017 - healthaffairs.org
The Affordable Care Act (ACA) reformed the individual health insurance market. Because
insurers can no longer vary their offers of coverage based on applicants' health status, the …

[HTML][HTML] Affordable Care Act risk adjustment: overview, context, and challenges

J Kautter, GC Pope, P Keenan - Medicare & Medicaid Research …, 2014 - ncbi.nlm.nih.gov
Beginning in 2014, individuals and small businesses will be able to purchase private health
insurance through competitive marketplaces. The Affordable Care Act (ACA) provides for a …

The Affordable Care Act's insurance market regulations' effect on coverage

G Wettstein - Health Economics, 2018 - Wiley Online Library
Much of the debate surrounding reform of the Patient Protection and Affordable Care Act
(ACA) revolves around its insurance market regulation. This paper studies the impact on …

More choice in health insurance marketplaces may reduce the value of the subsidies available to low-income enrollees

EA Taylor, E Saltzman, S Bauhoff, RL Pacula… - Health …, 2015 - healthaffairs.org
Federal subsidies available to enrollees in health insurance Marketplaces are pegged to the
premium of the second-lowest-cost silver plan available in each rating area (as defined by …

More than half of individual health plans offer coverage that falls short of what can be sold through exchanges as of 2014

JR Gabel, R Lore, RD McDevitt, JD Pickreign… - Health …, 2012 - healthaffairs.org
The Affordable Care Act creates state-based health exchanges that will begin acting as a
market place for health insurance plans and consumers in 2014. This paper compares the …

The ACA's Effect On The Individual Insurance Market: An assessment of how individual health insurance markets evolved between 2014 and 2019, using metrics such …

S Corlette, LJ Blumberg, K Lucia - Health Affairs, 2020 - healthaffairs.org
The vision of the Affordable Care Act (ACA) for a reformed individual health insurance
market included requirements and incentives for insurers to manage risk instead of avoiding …

The power of reinsurance in health insurance exchanges to improve the fit of the payment system and reduce incentives for adverse selection

JM Zhu, T Layton, AD Sinaiko… - INQUIRY: The Journal …, 2013 - journals.sagepub.com
Risk adjustment and reinsurance protect plans against risk of losses and contend with
adverse selection in the new health insurance Exchanges. This article assesses the power …

The changing dynamics of US health insurance and implications for the future of the Affordable Care Act

JA Graves, SS Nikpay - Health Affairs, 2017 - healthaffairs.org
The introduction of Medicaid expansions and state Marketplaces under the Affordable Care
Act (ACA) have reduced the uninsurance rate to historic lows, changing the choices …

Some families who purchased health coverage through the Massachusetts Connector wound up with high financial burdens

AA Galbraith, AD Sinaiko, SB Soumerai… - Health …, 2013 - healthaffairs.org
Health insurance exchanges created under the Affordable Care Act will offer coverage to
people who lack employer-sponsored insurance or have incomes too high to qualify for …