Turmoil in the Individual Insurance Market — Where It Came From and How to Fix It

Aaron, Henry J.; Fiedler, Matthew; Ginsburg, Paul Β.; Adler, Loren; Rivlin, Alice M.

doi:10.1056/nejmp1707593

Cited by 10 publications

(9 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Beyond our study states, other researchers have documented similar explanations from insurers across the country (Aaron et al 2017; CBPP 2017; U.S. Congress 2017). For instance, a field interview study similar to this one reported that insurers are "just terrified that the feds are going to pull the rug out from underneath them in the middle of the plan year" (Lucia et al 2017).…”

Section: Forms Of Uncer Ta Int Ysupporting

confidence: 73%

The Effects of Political Versus Actuarial Uncertainty on Insurance Market Stability

Hall

2020

RSF: The Russell Sage Foundation Journal of the Social Sciences

View full text Add to dashboard Cite

Market stabilization is a critical regulatory challenge for the private insurance component of the Affordable Care Act (ACA). Initially ACA market instability was due largely to the actuarial uncertainty associated with new market conditions for which good actuarial data were lacking. Then, in 2017, just as actuarial uncertainty was abating, political uncertainty came into play, reactivating and compounding actuarial uncertainty. Agreement is widespread that some stabilization measures are needed to improve the functioning of the ACA's market reforms. Based on documentary research at a national level and in-depth case studies in ten states, this study examines the role actuarial and political uncertainty have played in creating unstable market conditions and explores what measures state and federal lawmakers could take to improve market conditions.

show abstract

Section: Forms Of Uncer Ta Int Ysupporting

confidence: 73%

The Effects of Political Versus Actuarial Uncertainty on Insurance Market Stability

Hall

2020

RSF: The Russell Sage Foundation Journal of the Social Sciences

View full text Add to dashboard Cite

show abstract

“…Studies demonstrate heterogeneity in enrollment by type of exchange, with state‐run exchanges experiencing nearly twice as large a demand elasticity based on premium subsidies (Frean et al., ), which may be explained at least in part by differing state approaches to outreach efforts and support for the ACA's navigator program designed to improve and facilitate new enrollment (Karaca‐Mandic et al., ; Sommers, Maylone et al., ; Vargas, ). Concerns remain, however, that insurer exits, high premium growth in some areas—particularly those with limited competition (Parys, )—and ongoing political uncertainty over the law may undermine exchange enrollment in the near future (Aaron et al., ).…”

Section: Effects Of the Aca On Insurance Coveragementioning

confidence: 99%

“…More recently, however, actions by the Trump administration to weaken the law, including repeal of the individual mandate, may significantly worsen the risk pool in the exchanges (Aaron et al., ). Under the tax credit structure of the ACA, individuals pay a fixed percentage of their income for insurance, and the government pays the residual costs.…”

Section: Non‐health Care Effects Of the Aca—budgets And Employmentmentioning

confidence: 99%

The Affordable Care Act's Effects on Patients, Providers, and the Economy: What We've Learned So Far

Gruber¹,

Sommers²

2019

J Policy Anal Manage

View full text Add to dashboard Cite

As we approach the tenth anniversary of the passage of the Affordable Care Act, it is important to reflect on what has been learned about the impacts of this major reform. In this paper, we review the literature on the impacts of the ACA on patients, providers, and the economy. We find strong evidence that the ACA's provisions have increased insurance coverage. There is also a clearly positive effect on access to and consumption of health care, with suggestive but more limited evidence on improved health outcomes. There is no evidence of significant reductions in provider access, changes in labor supply, or increased budgetary pressures on state governments, and the law's total federal cost through 2018 has been less than predicted. We conclude by describing key policy implications and future areas for research.

show abstract

“…1 ) [ 4 ]. The United Nations World Health Assembly has recognized sepsis as a global health priority and adopted a resolution to improve its worldwide prevention, diagnosis and management [ 5 ]. Despite the rising global awareness, there are no successful approaches to reduce the sepsis burden in LMICs.…”

mentioning

confidence: 99%

The long sepsis journey in low- and middle-income countries begins with a first step...but on which road?

Kwizera

Baelani²,

Mer

et al. 2018

Crit Care

View full text Add to dashboard Cite

Turmoil in the Individual Insurance Market — Where It Came From and How to Fix It

Cited by 10 publications

References 1 publication

The Effects of Political Versus Actuarial Uncertainty on Insurance Market Stability

The Effects of Political Versus Actuarial Uncertainty on Insurance Market Stability

The Affordable Care Act's Effects on Patients, Providers, and the Economy: What We've Learned So Far

The long sepsis journey in low- and middle-income countries begins with a first step...but on which road?

Contact Info

Product

Resources

About