دورية أكاديمية

Consumer Cost-Sharing in Marketplace vs. Employer Health Insurance Plans, 2015.

التفاصيل البيبلوغرافية
العنوان: Consumer Cost-Sharing in Marketplace vs. Employer Health Insurance Plans, 2015.
المؤلفون: Gabel J; NORC at the University of Chicago. Gabel-Jon@norc.org, Whitmore H, Green M, Stromberg S, Oran R
المصدر: Issue brief (Commonwealth Fund) [Issue Brief (Commonw Fund)] 2015 Dec; Vol. 38, pp. 1-11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Commonwealth Fund Country of Publication: United States NLM ID: 101087100 Publication Model: Print Cited Medium: Internet ISSN: 1558-6847 (Electronic) Linking ISSN: 15586847 NLM ISO Abbreviation: Issue Brief (Commonw Fund)
أسماء مطبوعة: Original Publication: New York, N.Y. : Commonwealth Fund
مواضيع طبية MeSH: Community Participation/*economics , Cost Sharing/*trends , Health Benefit Plans, Employee/*economics , Health Insurance Exchanges/*economics, Community Participation/trends ; Deductibles and Coinsurance ; Forecasting ; Health Benefit Plans, Employee/trends ; Health Insurance Exchanges/trends ; Humans ; Insurance, Pharmaceutical Services ; United States
مستخلص: Using data from 49 states and Washington, D.C., we analyzed changes in cost-sharing under health plans offered to individuals and families through state and federal exchanges from 2014 to 2015. We examined eight vehicles for cost-sharing, including deductibles, copayments, coinsurance, and out-of-pocket limits, and compared findings with cost-sharing under employer-based insurance. We found cost-sharing under marketplace plans remained essentially unchanged from 2014 to 2015. Stable premiums during that period do not reflect greater costs borne by enrollees. Further, 56 percent of enrollees in marketplace plans attained cost-sharing reductions in 2015. However, for people without cost-sharing reductions, average copayments, deductibles, and out-of-pocket limits under catastrophic, bronze, and silver plans are considerably higher than under employer-based plans on average, while cost-sharing under gold plans is similar employer-based plans on average. Marketplace plans are far more likely than employer-based plans to require enrollees to meet deductibles before they receive coverage for prescription drugs.
فهرسة مساهمة: Note: Realizing health reform's potential.
تواريخ الأحداث: Date Created: 20160115 Date Completed: 20160119 Latest Revision: 20161126
رمز التحديث: 20240628
PMID: 26761957
قاعدة البيانات: MEDLINE