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来源类型Working Paper
规范类型报告
DOI10.3386/w23444
来源IDWorking Paper 23444
Health Plan Payment in U.S. Marketplaces: Regulated Competition with a Weak Mandate
Timothy Layton; Ellen J. Montz; Mark Shepard
发表日期2017-05-29
出版年2017
语种英语
摘要The Affordable Care Act Marketplaces were introduced in 2014 as part of a reform of the U.S. individual health insurance market. While the individual market represents a small slice of the U.S. population, it has historically been the market segment with the lowest rates of take-up and greatest concerns about access to robust coverage. As part of the reform of the individual insurance market, the Marketplaces invoke many of the principles of regulated competition including (partial) community rating of premiums, mandated benefits, and risk adjustment transfers. While the Marketplaces initially appeared to be successful at increasing coverage and limiting premium growth, more recent outcomes have been less favorable and the stability of the Marketplaces is currently in question. In this paper, we lay out in detail how the Marketplaces adopt the tools of regulated competition. We then discuss ways in which the Marketplace model deviates from the more conventional model and how those deviations may impact the eventual success or failure of these new markets.
主题Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w23444
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/581117
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Timothy Layton,Ellen J. Montz,Mark Shepard. Health Plan Payment in U.S. Marketplaces: Regulated Competition with a Weak Mandate. 2017.
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