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Are Integrated Plan Providers Associated With Lower Premiums on the Health Insurance Marketplaces?
Ambar La Forgia1, Jared Lane K Maeda2, Jessica S Banthin2
11 University of Pennsylvania, Philadelphia, PA, USA.
Medical Care Research and Review : MCRR
|November 18, 2017
Summary
Vertically integrated health plan providers, which combine insurance and healthcare services, offer modestly lower premiums in health insurance marketplaces. This growing sector
Area of Science:
- Health Economics
- Healthcare Policy
- Insurance Market Analysis
Background:
- Increasing consolidation in the health insurance industry.
- Hospitals and health systems are entering the insurance market (vertical integration).
- Insurers are actively acquiring healthcare providers.
Purpose of the Study:
- To compare premiums of integrated plan providers with other insurer types.
- To analyze pricing behavior within health insurance marketplaces (HIMs).
- To understand the impact of integrated plan providers on premium competition.
Main Methods:
- Descriptive study comparing lowest-priced silver plans.
- Analysis of data from 2015 and 2016 health insurance marketplaces.
- Comparison between integrated plan providers and other insurer types.
Main Results:
- Integrated plan providers were associated with modestly lower premiums.
- These lower premiums were observed relative to most other insurer types.
- Early insights into premium competition dynamics on the HIMs.
Conclusions:
- Vertically integrated plan providers represent a growing segment in health insurance marketplaces.
- Their pricing behavior may influence future premium trends.
- Recognizing integrated plan providers as a distinct category has significant policy implications.
Keywords:
Affordable Care Acthealth insurance marketplacesinsurer competitionintegrated delivery systemsMore Related Videos
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