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Efficiency in plan choice with risk adjustment and risk-based pricing in health insurance exchanges

Recurso electrónico / Electronic resource
Registro MARC
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100  ‎$0‎MAPA20170002246‎$a‎Shi, Julie
24510‎$a‎Efficiency in plan choice with risk adjustment and risk-based pricing in health insurance exchanges‎$c‎Julie Shi
520  ‎$a‎This paper explores the impacts of risk adjustment and risk-based pricing on the efficiency of consumer insurance selection in the Health Insurance Exchanges (HIEs) created by the health-care reform in the U.S. Selecting a population likely to participate in the HIEs from the Medical Expenditure Panel Survey, consumer choice between plans with different levels of generosity is simulated under various scenarios of policy implementation. The results show that risk-based pricing could, in general, improve or impair efficiency, depending on the heterogeneity of the health-care spending of the enrollees and the selection of rating bands, while risk adjustment always encourages consumers to enrol in the more generous plans, which, in the model, implies improvement in efficiency.
650 4‎$0‎MAPA20120026414‎$a‎Eficiencia operacional
650 4‎$0‎MAPA20080599096‎$a‎Selección de riesgos
650 4‎$0‎MAPA20080573867‎$a‎Seguro de salud
650 4‎$0‎MAPA20080626310‎$a‎Seguro de asistencia sanitaria
7730 ‎$w‎MAP20077100215‎$t‎Geneva papers on risk and insurance : issues and practice‎$d‎Geneva : The Geneva Association, 1976-‎$x‎1018-5895‎$g‎02/01/2017 Volumen 42 Número 1 - enero 2017 , p. 79-113