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.
With the regulatory takeover and subsequent liquidation of CoOportunity Health, many analysts and policymakers are concerned about the stability and viability of the 22 other CO-OP plans.
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...
As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This fifth post of a five-part series outlines the seldom-mentioned provisions for American Indians and Alaskan Natives.
As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This first post of a five-part series describes the current state of insurance coverage and health disparities among racial and ethnic minorities.
The ACA’s Pediatric Essential Health Benefit Has Resulted In A State-By-State Patchwork Of Coverage With Exclusions
In Health Affairs, Kathleen Noonan, co-director of the CHOP PolicyLab, and colleagues investigate how the Affordable Care Act’s (ACA) pediatric essential health benefit has been implemented by states. They look at how state benchmark plans - the base plan chosen in each state as the standard or benchmark of coverage in that state under ACA rules - address pediatric coverage in plans governed by the essential health benefits standard. The review of summaries of all the state benchmark plans found that no state specified a distinct pediatric services benefit class. Furthermore,...
In a National Bureau of Economic Research Working Paper, Amanda Starc and Keith Marzilli Ericson (Boston University) examine how much consumers value network breadth by measuring and comparing insurance plans, and plan choice, on the Massachusetts health insurance exchange. ‘Limited’ or ‘narrow’ network plans are growing in popularity yet there is currently little evidence on consumer valuation of breadth as a plan attribute. Using data from the Massachusetts exchange and the Massachusetts All-Payer Claims Database, Starc and Marzilli quantify the breadth of insurer-hospital...
Narrow provider networks, which are frequently used by plans on the Affordable Care Act’s health insurance exchanges, have garnered their share of criticism.
In a new LDI/RWJF Data Brief, we go window-shopping on each health insurance marketplace, and evaluate what we see in terms of “choice architecture” and decision support. How does Healthcare.gov and each of the 14 state-based marketplaces present the choices available, and how does each site help consumers choose the plan that is right for them?
This data brief examines the window-shopping experience that consumers encountered on each health insurance marketplace website during the first two weeks of the Affordable Care Act's second open enrollment period. The marketplaces have made some progress toward adopting the recommended "Top 5 Rules for Decision Support." Shoppers found plenty of sorting and filtering options, but insufficient information about providers and little true decision support.
The federal government’s health insurance marketplace HealthCare.gov (re)opened for business on November 15th. Last year, LDI Fellow Charlene Wong, MD researched how to improve the site to respond to the needs of young adults. Here she reflects on what improvements have been made to HealthCare.gov and what issues remain.
Cross-posted with the Field Clinic blog
On November 15th, state-run health insurance marketplaces and the federal government's HealthCare.gov open for their second enrollment period.
Photo: Hoag Levins