Private Insurance/Exchanges

The main source of health insurance in the US, primarily through employers. The Affordable Care Act established health insurance exchanges (marketplaces) for the individual and small group market.

Sizing Narrow Networks

Jun. 23, 2015

There’s been a lot of talk about "narrow" networks in ACA plans, which trade off limited provider coverage for lower premiums. Using a new integrated dataset of physician networks in plans on the federal and state marketplaces, our latest LDI/RWJF Data Brief describes the breadth of physician networks across all silver plans sold in 2014.

The Skinny on Narrow Networks in Health Insurance Marketplace Plans

Data Brief
Jun. 23, 2015

The Affordable Care Act (ACA) has prompted health plans to increase their use of “narrow networks” of providers as a cost containment strategy. The Leonard Davis Institute of Health Economics (LDI) has assembled the first integrated dataset of physician networks for the plans offered on the ACA marketplace. This data brief uses this new resource to describe the breadth of the physician networks in plans sold on the state and federal marketplaces. 

Networks, Networks, Networks

Jun. 5, 2015

This is the second post covering the Third Annual Health Insurance Exchanges Conference, hosted by LDI’s HIX working group, which took place in April 2015. The full agenda is here, and the first post, which focused on choice architecture, is here.

Dental Coverage on the Marketplaces: an Update

Feb. 26, 2015

Stand-alone dental plans (SADPs), available on state and federal marketplaces, spawned headlines late last fall because they were mistakenly counted when CMS tallied the total of health insurance enrollments.

The Role of “Agent-Navigators” in ACA Marketplaces

Feb. 13, 2015

As the February 15 deadline for open enrollment on the ACA marketplaces approaches, surveys tells us that many uninsured people remain unaware or misinformed about whether they qualify for subsidies to help purchase health insurance. Prior to the ACA, many people looked to agents and brokers to understand their options and to help them find an individual plan.

Primary Care Appointment Availability and Preventive Care Utilization: Evidence From an Audit Study

Jan. 17, 2015

Brendan Saloner, Daniel Polsky, Ari Friedman, Karin Rhodes

In Medical Care Research and Review, Brendan Saloner (Johns Hopkins University), and Penn colleagues Dan Polsky, Ari Friedman and Karin Rhodes, analyzes adult preventive care utilization and primary care appointment availability. The authors link individual-level, cross-sectional data on adult preventive care utilization from the 2011-2012 Behavioral Risk Factor Surveillance System to novel county-level measures of primary care appointment availability collected from an experimental audit study conducted in 10 states in 2012 to 2013 and other county-level health service and...