G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w22519
来源IDWorking Paper 22519
Marketplace Plan Payment Options for Dealing with High-Cost Enrollees
Timothy J. Layton; Thomas G. McGuire
发表日期2016-08-22
出版年2016
语种英语
摘要Two of the three elements of the ACA’s “premium stabilization program,” reinsurance and risk corridors, are set to expire in 2017, leaving risk adjustment alone to protect plans against risk of high-cost cases. This paper considers potential modifications of the HHS risk adjustment methodology to maintain plan protection against risk from high-cost cases within the current regulatory framework. We show analytically that modifications of the transfer formula and of the risk adjustment model itself are mathematically equivalent to a conventional actuarially fair reinsurance policy. Furthermore, closely related modifications of the transfer formula or the risk adjustment model can improve on conventional reinsurance by figuring transfers or estimating risk adjustment model weights recognizing the presence of a reinsurance function. In the empirical section, we estimate risk adjustment models with an updated and selected version of the data used to calibrate the federal payment models, and show, using simulation methods, that proposed modifications improve fit at the person level and protect small insurers against high-cost risk better than conventional reinsurance. We simulate various “attachment points” for the reinsurance equivalent policies and quantify the tradeoffs of higher and lower attachment points.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w22519
来源智库National Bureau of Economic Research (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/580193
推荐引用方式
GB/T 7714
Timothy J. Layton,Thomas G. McGuire. Marketplace Plan Payment Options for Dealing with High-Cost Enrollees. 2016.
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
w22519.pdf(394KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Timothy J. Layton]的文章
[Thomas G. McGuire]的文章
百度学术
百度学术中相似的文章
[Timothy J. Layton]的文章
[Thomas G. McGuire]的文章
必应学术
必应学术中相似的文章
[Timothy J. Layton]的文章
[Thomas G. McGuire]的文章
相关权益政策
暂无数据
收藏/分享
文件名: w22519.pdf
格式: Adobe PDF
此文件暂不支持浏览

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。