Crossing 138 : Two Approaches to Churn Under the Affordable Care Act
A predicted side effect of the Medicaid expansion and state-based Exchanges under the Affordable Care Act is churn. Churn is the shifting into and out of eligibility for insurance affordability programs due to income changes. Because the line between Medicaid and Exchange eligibility is fine: 138% of the federal poverty level, millions of Americans are expected to frequently gain and lose eligibility. This churning undermines continuity of care, raises costs, and frustrates those affected. This article explores two proposed programs to mitigate the effects of churn: the Basic Health Program and the Bridge Program. This article evaluates both programs’ ability to mitigate the effects of churn, the likely side effects to states implementing them, and legal and practical obstacles to their implementation. It concludes that the Bridge Program is the better approach
Year of publication: |
2014
|
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Authors: | Ravel, Gabriel ; DeSantis, J. |
Publisher: |
[S.l.] : SSRN |
Subject: | Gesetzliche Krankenversicherung | Public health insurance | Wirkungsanalyse | Impact assessment | Gesundheitsreform | Health care reform | Versicherungsschutz | Insurance coverage | Theorie | Theory |
Saved in:
freely available
Extent: | 1 Online-Ressource (33 p) |
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Type of publication: | Book / Working Paper |
Language: | English |
Notes: | In: Health Matrix: Journal of Law-Medicine, Vol. 24, May 2014 Nach Informationen von SSRN wurde die ursprĂĽngliche Fassung des Dokuments December 13, 2013 erstellt |
Source: | ECONIS - Online Catalogue of the ZBW |
Persistent link: https://www.econbiz.de/10014150792
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