We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Microsimulation of Private Health Insurance and Medicaid Take-Up Following the U.S. Supreme Court Decision Upholding the Affordable Care Act.
- Authors
Parente, Stephen T.; Feldman, Roger
- Abstract
Objective To predict take-up of private health insurance and Medicaid following the U.S. Supreme Court decision upholding the Affordable Care Act ( ACA). Data Sources Data came from three large employers and a sampling of premiums from ehealthinsurance.com. We supplemented the employer data with information on state Medicaid eligibility and costs from the Kaiser Family Foundation. National predictions were based on the MEPS Household Component. Study Design We estimated a conditional logit model of health plan choice in the large group market. Using the coefficients from the choice model, we predicted take-up in the group and individual health insurance markets. Following ACA implementation, we added choices to the individual market corresponding to plans that will be available in state and federal exchanges. Depending on eligibility for premium subsidies, we reduced the out-of-pocket premiums for those choices. We simulated several possible patterns for states opting out of the Medicaid expansion, as allowed by the Supreme Court. Principal Findings The ACA will increase coverage substantially in the private insurance market and Medicaid. HSAs will remain desirable in both the individual and employer markets. Conclusions If states opt out of the Medicaid expansion, this could increase the federal cost of health reform, while reducing the number of newly covered lives.
- Subjects
UNITED States; MICROSIMULATION modeling (Statistics); HEALTH insurance; MEDICAID; MEDICAL savings accounts; UNITED States. Supreme Court; PATIENT Protection &; Affordable Care Act
- Publication
Health Services Research, 2013, Vol 48, Issue 2pt2, p826
- ISSN
0017-9124
- Publication type
Article
- DOI
10.1111/1475-6773.12036