Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums.

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  • Additional Information
    • Subject Terms:
    • NAICS/Industry Codes:
      524111 Direct individual life, health and medical insurance carriers
      524112 Direct group life, health and medical insurance carriers
    • Abstract:
      The state-based and federally facilitated health insurance Marketplaces, or exchanges, enrolled more than eight million people during the first open enrollment period, which ended March 31, 2014. There is significant variation in how states have designed and implemented their Marketplaces. We examined how premiums varied with states' involvement in the Marketplaces through governance, plan management authority, and strategy during the first year that the exchanges have been open. State-based Marketplaces using “clearinghouse” plan management models had significantly lower adjusted average premiums for all plans within each metal level compared to state-based Marketplaces using “active purchaser” models and the federally facilitated and partnership Marketplaces. Clearinghouse management models are those in which all health plans that meet published criteria are accepted. Active purchaser models are those in which states negotiate premiums, provider networks, number of plans, and benefits. Our baseline estimates provide valuable benchmarks for evaluating future performance of states' involvement in governance, plan management, and regulatory authority of the insurance Marketplaces. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of Health Affairs is the property of Project HOPE/HEALTH AFFAIRS and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • Author Affiliations:
      1Graduate, master of public policy program, Humphrey School of Public Affairs, University of Minnesota, Minneapolis
      2Associate professor, Health Policy and Management Division, School of Public Health, University of Minnesota
      3Professor, Health Policy and Management Division, School of Public Health, University of Minnesota
    • ISSN:
      0278-2715
    • Accession Number:
      10.1377/hlthaff.2014.0627
    • Accession Number:
      100345983
  • Citations
    • ABNT:
      KRINN, K.; KARACA-MANDIC, P.; BLEWETT, L. A. Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums. Health Affairs, [s. l.], v. 34, n. 1, p. 160–169, 2015. Disponível em: . Acesso em: 14 nov. 2019.
    • AMA:
      Krinn K, Karaca-Mandic P, Blewett LA. Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums. Health Affairs. 2015;34(1):160-169. doi:10.1377/hlthaff.2014.0627.
    • APA:
      Krinn, K., Karaca-Mandic, P., & Blewett, L. A. (2015). Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums. Health Affairs, 34(1), 160–169. https://doi.org/10.1377/hlthaff.2014.0627
    • Chicago/Turabian: Author-Date:
      Krinn, Kelly, Pinar Karaca-Mandic, and Lynn A. Blewett. 2015. “Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums.” Health Affairs 34 (1): 160–69. doi:10.1377/hlthaff.2014.0627.
    • Harvard:
      Krinn, K., Karaca-Mandic, P. and Blewett, L. A. (2015) ‘Web First. State-Based Marketplaces Using “Clearinghouse” Plan Management Models Are Associated With Lower Premiums’, Health Affairs, 34(1), pp. 160–169. doi: 10.1377/hlthaff.2014.0627.
    • Harvard: Australian:
      Krinn, K, Karaca-Mandic, P & Blewett, LA 2015, ‘Web First. State-Based Marketplaces Using “Clearinghouse” Plan Management Models Are Associated With Lower Premiums’, Health Affairs, vol. 34, no. 1, pp. 160–169, viewed 14 November 2019, .
    • MLA:
      Krinn, Kelly, et al. “Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums.” Health Affairs, vol. 34, no. 1, Jan. 2015, pp. 160–169. EBSCOhost, doi:10.1377/hlthaff.2014.0627.
    • Chicago/Turabian: Humanities:
      Krinn, Kelly, Pinar Karaca-Mandic, and Lynn A. Blewett. “Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums.” Health Affairs 34, no. 1 (January 2015): 160–69. doi:10.1377/hlthaff.2014.0627.
    • Vancouver/ICMJE:
      Krinn K, Karaca-Mandic P, Blewett LA. Web First. State-Based Marketplaces Using ‘Clearinghouse’ Plan Management Models Are Associated With Lower Premiums. Health Affairs [Internet]. 2015 Jan [cited 2019 Nov 14];34(1):160–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=asn&AN=100345983&custid=s8280428