Centro de Documentacion de Fundación MAPFRE

MAP20200009306

Losses (ang gains) from health reform for non-medicaid uninsureds / Mark Pauly, Adam Leive, Scott Harrington

Resumen: This article examines how the Affordable Care Act (ACA) would change financial resources for and transfers to the previously uninsured if they were to purchase coverage in the ACA insurance exchanges (marketplaces) in 2014. The results suggest that the law provides gains to some, relative to their spending in the pre-ACA period, particularly those in poor health and with very low incomes, but it also potentially imposes financial losses on many, again compared to their experience when uninsured.Weestimate changes in expected paymentsdefined as premiums plus expected out-of-pocket costsfrom purchasing coverage and paying cost sharing post-ACA, relative to expected out-of-pocket payments when being uninsured pre- ACA, across population subgroups characterized by income, age, and health status. We also estimate changes in expected transfers to the previously uninsured under alternative assumptions on how much health care spending increases after the ACA

En: The Journal of risk and insurance. - Nueva York : The American Risk and Insurance Association, 1964- = ISSN 0022-4367. - 02/03/2020 Volumen 87 Número 1 - marzo 2020 , p. 41-66

1. Seguro de salud . 2. Seguro de asistencia sanitaria . 3. Mercado de seguros . 4. Perspectivas del seguro . 5. Legislación de seguros . 6. Medicare . 7. Estados Unidos . I. Leive, Adam . II. Harrington, Scott A. . III. Título.