State marketplace stabilization strategies
- Collection:
- Health Policy and Services Research
- Contributor(s):
- American Hospital Association, issuing body. Manatt, Phelps & Phillips, issuing body.
- Publication:
- [Washington, D.C.] : American Hospital Association, January 2018
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Insurance Exchanges Insurance Coverage Insurance, Health Cost Sharing Federal Government Insurance Selection Bias Managed Care Programs Medicaid State Government Humans United States United States.
- Genre(s):
- Technical Report
- Abstract:
- The Health Insurance Marketplaces established by the Affordable Care Act (ACA) have become an important source of coverage for more than 10 million Americans, many of whom receive federal subsidies to reduce the cost of coverage. However, many of the Marketplaces are exhibiting signs of instability, including volatility in plan participation and significant year-over-year premium rate increases. If instability is not addressed, insurers may choose not to sell in a Marketplace, leaving consumers without options for coverage and without the ability to access federal premium and cost-sharing subsidies. While many of the factors contributing to Marketplace instability could be addressed through changes in federal policy, states also have levers to stabilize their Marketplaces and ensure health coverage is available. The American Hospital Association (AHA) worked with Manatt Health to identify a suite of state-level solutions to these issues. Given the unique characteristics of each state, there is no single option that would work for all states, and all of the options come with implementation hurdles. Among other considerations, we discuss which solutions may be more or less appropriate based on a state's characteristics. In addition to this work, the AHA is simultaneously pursuing federal solutions that could improve the stability of the Marketplaces. Our recommendations for Congress and the Centers for Medicare & Medicaid Services can be accessed here.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (23 pages))
- NLM Unique ID:
- 101730150 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101730150