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The Choice Environment and Diminishing Returns of Choice on the Health Insurance Exchanges- [electronic resource]
The Choice Environment and Diminishing Returns of Choice on the Health Insurance Exchanges- [electronic resource]
상세정보
- 자료유형
- 학위논문파일 국외
- 최종처리일시
- 20240214101225
- ISBN
- 9798379910327
- DDC
- 614
- 서명/저자
- The Choice Environment and Diminishing Returns of Choice on the Health Insurance Exchanges - [electronic resource]
- 발행사항
- [S.l.]: : University of Washington., 2023
- 발행사항
- Ann Arbor : : ProQuest Dissertations & Theses,, 2023
- 형태사항
- 1 online resource(117 p.)
- 주기사항
- Source: Dissertations Abstracts International, Volume: 85-01, Section: A.
- 주기사항
- Advisor: Wong, Edwin.
- 학위논문주기
- Thesis (Ph.D.)--University of Washington, 2023.
- 사용제한주기
- This item must not be sold to any third party vendors.
- 초록/해제
- 요약The Affordable Care Act (ACA) Health Insurance Exchanges (HIXs) were designed to encourage price competition in the individual and small group market by providing a platform where enrollees could purchase and compare across numerous health plan options. However, the average number of plan options available to an HIX enrollee quadrupled from 26 to 108 plans between 2019 and 2022. While the extant literature suggests that having an assortment of plan options can benefit enrollees, too many options may be detrimental to enrollee well-being and have cascading effects on market competition. Little is known about the maximum number of choices to offer on the HIXs. In this dissertation, we explore the changing dynamics of health plan menus on the HIXs and identify menu sizes where additional plan options cease to benefit enrollees. Because plan standardization was implemented for a subset of health plans on the HIXs in plan year 2023, we explore these menu sizes both with and without standardization. We found significant plan churn in the HIXs as few plans were offered for more than two consecutive years and the overall number and characteristics of HIX plans varied across time. We also found that enrollees stopped valuing new plans after 80 plans under no standardization and after 20 plans under some - or complete - standardization. These estimated maximum menu sizes are smaller than the average menu size offered on HIXs in 2022 suggesting that HIXs may be able to reduce the number of health plan options available to enrollees without negatively impacting enrollee well-being. Continuing to expand this knowledge base may guide policymakers as they work to improve competition and enrollee choice on the HIXs.
- 일반주제명
- Health sciences.
- 일반주제명
- Health care management.
- 키워드
- Policymakers
- 기타저자
- University of Washington Health Systems and Population Health
- 기본자료저록
- Dissertations Abstracts International. 85-01A.
- 기본자료저록
- Dissertation Abstract International
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■00520240214101225
■006m o d
■007cr#unu||||||||
■020 ▼a9798379910327
■035 ▼a(MiAaPQ)AAI30526916
■040 ▼aMiAaPQ▼cMiAaPQ
■0820 ▼a614
■1001 ▼aPoehler, Diana Christine.
■24510▼aThe Choice Environment and Diminishing Returns of Choice on the Health Insurance Exchanges▼h[electronic resource]
■260 ▼a[S.l.]:▼bUniversity of Washington. ▼c2023
■260 1▼aAnn Arbor :▼bProQuest Dissertations & Theses, ▼c2023
■300 ▼a1 online resource(117 p.)
■500 ▼aSource: Dissertations Abstracts International, Volume: 85-01, Section: A.
■500 ▼aAdvisor: Wong, Edwin.
■5021 ▼aThesis (Ph.D.)--University of Washington, 2023.
■506 ▼aThis item must not be sold to any third party vendors.
■520 ▼aThe Affordable Care Act (ACA) Health Insurance Exchanges (HIXs) were designed to encourage price competition in the individual and small group market by providing a platform where enrollees could purchase and compare across numerous health plan options. However, the average number of plan options available to an HIX enrollee quadrupled from 26 to 108 plans between 2019 and 2022. While the extant literature suggests that having an assortment of plan options can benefit enrollees, too many options may be detrimental to enrollee well-being and have cascading effects on market competition. Little is known about the maximum number of choices to offer on the HIXs. In this dissertation, we explore the changing dynamics of health plan menus on the HIXs and identify menu sizes where additional plan options cease to benefit enrollees. Because plan standardization was implemented for a subset of health plans on the HIXs in plan year 2023, we explore these menu sizes both with and without standardization. We found significant plan churn in the HIXs as few plans were offered for more than two consecutive years and the overall number and characteristics of HIX plans varied across time. We also found that enrollees stopped valuing new plans after 80 plans under no standardization and after 20 plans under some - or complete - standardization. These estimated maximum menu sizes are smaller than the average menu size offered on HIXs in 2022 suggesting that HIXs may be able to reduce the number of health plan options available to enrollees without negatively impacting enrollee well-being. Continuing to expand this knowledge base may guide policymakers as they work to improve competition and enrollee choice on the HIXs.
■590 ▼aSchool code: 0250.
■650 4▼aHealth sciences.
■650 4▼aHealth care management.
■653 ▼aHealth plan options
■653 ▼aHealth Insurance Exchanges
■653 ▼aMarket competition
■653 ▼aPolicymakers
■653 ▼aEnrollee well-being
■690 ▼a0566
■690 ▼a0501
■690 ▼a0769
■71020▼aUniversity of Washington▼bHealth Systems and Population Health.
■7730 ▼tDissertations Abstracts International▼g85-01A.
■773 ▼tDissertation Abstract International
■790 ▼a0250
■791 ▼aPh.D.
■792 ▼a2023
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T16933267▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
■980 ▼a202402▼f2024
