Tag: premium stabilization

Stabilizing the Affordable Care Act Marketplaces: Lessons from Medicare

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In the late 1990s, Medicare officials faced decisions by insurers to cancel nearly half of their Medicare Advantage contracts. In a new issue brief for the Robert Wood Johnson Foundation, Georgetown experts Jack Hoadley and Sabrina Corlette assess the policies and strategies adopted to manage instability in the Medicare Advantage and Part D markets and whether they can be used to stabilize the Affordable Care Act marketplaces. Key takeaways from that issue brief are shared here.

New Report Evaluates States’ Strategies to Stabilize Health Insurance Premiums and Build Sustainable Exchanges

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The Affordable Care Act includes a range of health insurance reforms that will lead to health care costs being shared more evenly between the healthy and the sick. Some experts have pointed to concerns that in the short term, there will be premium “rate shock” for some individuals, while in the long term, exchanges will be vulnerable to adverse selection if they attract a disproportionate number of older, sicker enrollees. Under the ACA, states have considerable flexibility to implement additional strategies to manage their markets and protect consumers. In collaboration with researchers at the Urban Institute, CHIR faculty members Sabrina Corlette and Sarah Dash examine states’ strategies to make premiums more affordable and protect the exchanges from potential adverse selection.

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.