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来源类型 | Report |
规范类型 | 报告 |
来源ID | RR-529 |
Evaluating the "Keep Your Health Plan Fix": Implications for the Affordable Care Act Compared to Legislative Alternatives | |
Evan Saltzman; Christine Eibner | |
发表日期 | 2014-01-21 |
出版年 | 2014 |
页码 | 20 |
语种 | 英语 |
结论 | Premium increases are small to moderate
ACA-compliant market enrollment declines are modest to substantial
The number of uninsured decreases
ACA-compliant market enrollees are older and less healthy, while non–ACA-compliant nongroup plans retain and/or attract young and healthy individuals
The net cost of the ACA's coverage provisions will increase, particularly under the optional extension plus buy-in proposal
None of the proposals will lead to a death spiral or the implosion of the ACA-compliant market.
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摘要 | President Obama's promise that Americans could keep their existing health care plans under the Affordable Care Act (ACA) has received increased scrutiny in the wake of millions of Americans having their plans cancelled. These cancellations primarily occurred in the individual or nongroup market, where individuals purchase health care plans directly from an insurer instead of through an employer. Many such plans do not meet the minimum coverage requirements of the ACA, leading insurers to send plan-cancellation notices to their enrollees. ,This report describes a comparative analysis of three proposals to remedy the situation: one by the White House, another by Senator Mary Landrieu (D-LA), and a third by Representative Fred Upton (R-MI). The proposals are evaluated based on their potential impact on the ACA-compliant market and the cost and coverage of health insurance. The possibility of each proposal causing a "death spiral," in which rising premiums and decreasing enrollment undermine the viability of the ACA-compliant market, is also addressed. ,The authors find that the three proposals vary from slight to moderate impact on ACA premiums, enrollment, and federal spending, but none of them would result in the unraveling of the ACA-compliant market. |
目录 |
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主题 | Affordable Care Act ; Health Care Reform ; Health Insurance Mandates ; Health Insurance Markets |
URL | https://www.rand.org/pubs/research_reports/RR529.html |
来源智库 | RAND Corporation (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/522392 |
推荐引用方式 GB/T 7714 | Evan Saltzman,Christine Eibner. Evaluating the "Keep Your Health Plan Fix": Implications for the Affordable Care Act Compared to Legislative Alternatives. 2014. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR529.pdf(238KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
x1495316367458.jpg.p(4KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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