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来源类型Working Paper
规范类型报告
DOI10.3386/w20223
来源IDWorking Paper 20223
\"Sticker Shock\" in Individual Insurance under Health Reform
Mark Pauly; Scott Harrington; Adam Leive
发表日期2014-06-12
出版年2014
语种英语
摘要This paper provides estimates of the changes in premiums, average or expected out of pocket payments, and the sum of premiums and out of pocket payments (total expected price) for a sample of consumers who bought individual insurance in 2010 to 2012, comparing total expected prices before the Affordable Care Act with estimates of total expected prices if they were to purchase silver or bronze coverage after reform, before the effects of any premium subsidies. We provide comparisons for purchasers of self only coverage in California and in 23 states with minimal prior state premium regulation before the ACA now using federally managed exchanges. Using data from the Current Population Survey, we find that the average prices increased by 14 to 28 percent, with similar changes in California and the federal exchange states; we attribute the increase primarily to higher premiums in exchanges associated with insurer expectations of a higher risk population being enrolled. The increase in total expected price is similar for age-gender population subgroups except for a larger than average increases for older women. A welfare calculation of the change in risk premium associated with moving from coverage that prevailed before reform to bronze or silver coverage finds small changes.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w20223
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/577896
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Mark Pauly,Scott Harrington,Adam Leive. \"Sticker Shock\" in Individual Insurance under Health Reform. 2014.
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