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Lessons Learned From the Affordable Care Act: The Premium Subsidy Design May Promote Adverse Selection.
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- Additional Information
- Source:
Publisher: Sage Periodicals Press Country of Publication: United States NLM ID: 9506850 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6801 (Electronic) Linking ISSN: 10775587 NLM ISO Abbreviation: Med Care Res Rev Subsets: MEDLINE
- Publication Information:
Original Publication: Thousand Oaks, CA : Sage Periodicals Press, c1995-
- Subject Terms:
- Abstract:
Since 2014, average premiums for health plans available in the Affordable Care Act marketplaces have increased. We examine how premium price changes affected the amount consumers pay after subsidies for the lowest-cost bronze and silver plans available by age in the federally facilitated exchanges. Between 2015 and 2016, benchmark plan premiums increased in 83.3% of counties. Overall, rising benchmark premiums were associated with lower average after-subsidy premiums for the lowest-cost bronze and silver plans for older subsidy-eligible adults, but with higher after-subsidy premiums for younger adults purchasing the same plans, regardless of income. With recent discussions to replace or overhaul the Affordable Care Act, it is critical that we learn from the successes and failures of the current policy. Our findings suggest that the subsidy design, which makes rising premiums costlier for younger adults looking to purchase an entry-level plan, may be contributing to adverse selection and instability in the marketplace.
- References:
Health Serv Res. 2000 Dec;35(5 Pt 1):933-47. (PMID: 11130805)
Health Aff (Millwood). 2017 Jan 1;36(1):8-15. (PMID: 28069841)
N Engl J Med. 2016 Sep 21;375(17):1605-1608. (PMID: 27653467)
Ann Intern Med. 2014 Oct 21;161(8):599-604. (PMID: 25199512)
Am Econ Rev. 2011 Jun 1;101(4):1180-1210. (PMID: 21857716)
N Engl J Med. 2016 Jun 2;374(22):2105-7. (PMID: 27248617)
- Contributed Indexing:
Keywords: Patient Protection and Affordable Care Act; health insurance exchanges; insurance pools
- Publication Date:
Date Created: 20171118 Date Completed: 20190528 Latest Revision: 20190528
- Publication Date:
20240829
- Accession Number:
PMC6238169
- Accession Number:
10.1177/1077558717703165
- Accession Number:
29148343
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