Record Details

Plan Efficiency Evaluation in Health Insurance Exchanges

The Journal of Health Care Finance

View Archive Info
 
 
Field Value
 
Title Plan Efficiency Evaluation in Health Insurance Exchanges
 
Creator Xiao, Tengjiao; Doctoral candidate, Lehigh University, Department of Industrial and Systems Engineering
Thiele, Aurelie; Associate Professor, Lehigh University, Department of Industrial and Systems Engineering
 
Description Objectives. To help individuals identify plans of potentially lesser value on health insurance exchanges (HIX) and inform a discussion with payers regarding plan efficiency based on competitive landscape.Study Design. We propose a methodology based on linear regression to identify inefficient (dominated) plans in the exchanges based on plans’ attributes. We identify the excess premium by which certain plans are less competitive than others based on an analysis of plans’ features such as premiums and deductibles. We assign each health payer a letter grade based on the percentage of efficient (non-dominated) plans in its HIX portfolio.Data Sources. We use HIX plan information in Pennsylvania and Massachusetts. Principal Findings. Our approach documents wide variations in payers’ competitiveness and the role of the health payer (name) in driving premiums. Conclusions. Our methodology provides a novel way to analyze HIX offerings. Payers should articulate more clearly the value proposition of plans labeled “inefficient” or “dominated” in our approach.
 
Publisher Worldwebtalk.com, Inc.
 
Contributor —
 
Date 2015-09-07
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
 
Format application/pdf
 
Identifier http://healthfinancejournal.com/index.php/johcf/article/view/39
 
Source Journal of Health Care Finance; Vol 42, No 1: Summer 2015
 
Language eng
 
Relation http://healthfinancejournal.com/index.php/johcf/article/view/39/41
 
Rights Copyright (c) 2016 Journal of Health Care Finance