A guide to understanding the variation in premiums in rural health insurance marketplaces.
Rural Policy Brief
; (2014 5): 1-5, 2014 May 01.
Article
en En
| MEDLINE
| ID: mdl-25399470
ABSTRACT
Key Findings. (1) State-level decisions in implementing the Patient Protection and Affordable Care Act of 2010 (ACA) have led to significant state variation in the design of Health Insurance Marketplace (HIM) rating areas. In some designs, rural counties are grouped together, while in others, rural and urban counties have been deliberately mixed. (2) Urban counties have, on average, approximately one more firm participating in the marketplaces, representing about 11 more plan offerings, than rural counties have. (3) The highest-valued "platinum" plan types are less likely to be available in rural areas. Thus, the overall mix of plan types should be factored into the reporting of average premiums. (4) Levels of competition are likely to have a greater impact on the decisions of firms considering whether to operate in higher-cost areas or not, as those firms must determine how they can pass such costs on to consumers, conditional on the market share they are likely to control.
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Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
/
2_ODS3
Problema de salud:
1_desigualdade_iniquidade
/
2_cobertura_universal
Asunto principal:
Reforma de la Atención de Salud
/
Servicios de Salud Rural
/
Cobertura del Seguro
/
Patient Protection and Affordable Care Act
/
Intercambios de Seguro Médico
/
Seguro de Salud
Tipo de estudio:
Prognostic_studies
Aspecto:
Equity_inequality
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Rural Policy Brief
Asunto de la revista:
SAUDE PUBLICA
/
SERVICOS DE SAUDE
Año:
2014
Tipo del documento:
Article