Providers Paid Substantially Less By Marketplace Nongroup Insurers Than By Employer Small-Group Plans, 2021

Numerous studies show that employer plans pay providers significantly more than Medicare, but less is known about prices in nongroup plans sold both on and off the Marketplaces established by the Affordable Care Act (ACA), where narrow networks and low-cost insurers are more prevalent. We estimated...

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Veröffentlicht in:	Health affairs (Millwood, Va.) Jg. 43; H. 12; S. 1672 - 1679U
Hauptverfasser:	Hanson, Caroline, McCarthy, Ian, Molloy, Eamon, Stockley, Karen
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States The People to People Health Foundation, Inc., Project HOPE 01.12.2024
Schlagworte:	Affordability Aggregate data Datasets Drug use Employers Enrollments Estimates Government programs Groups Health Benefit Plans, Employee - economics Health Benefit Plans, Employee - statistics & numerical data Health Insurance Exchanges - economics Hospitals Humans Inpatient care Insurance Carriers - economics Insurance coverage Insurance, Health - economics Market segments Markets Medicaid Medicare Medicare - economics Outpatient services Patient Protection & Affordable Care Act 2010-US Patient Protection and Affordable Care Act Prices Risk adjustment Segments Subsidies Substance use disorder United States United States
ISSN:	0278-2715, 2694-233X, 2694-233X, 1544-5208
Online-Zugang:	Volltext
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Zusammenfassung:	Numerous studies show that employer plans pay providers significantly more than Medicare, but less is known about prices in nongroup plans sold both on and off the Marketplaces established by the Affordable Care Act (ACA), where narrow networks and low-cost insurers are more prevalent. We estimated prices for three market segments (Marketplace nongroup, off-Marketplace nongroup, and employer small group) and three types of services (professional, outpatient hospital, and inpatient hospital) relative to a Medicare benchmark. We used 2021 claims data covering virtually all enrollment in ACA risk-adjusted plans. In aggregate, in 2021, Marketplace prices were 152 percent of Medicare prices, whereas the prices paid in small-group employer plans were 179 percent of Medicare prices. Comparing across market segments, relative to employer small-group plans, Marketplace professional prices were 6.9 percent lower, inpatient prices were 13.3 percent lower, and outpatient prices were 26.3 percent lower. Off-Marketplace prices fell between Marketplace and employer small-group prices. The finding that nongroup prices were significantly lower than prices paid by employer small-group plans-more so than indicated by prior research-is important for understanding federal subsidies and affordability for nongroup coverage and evaluating policies such as a nongroup public option with prices capped at a percentage of Medicare prices.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23
ISSN:	0278-2715 2694-233X 2694-233X 1544-5208
DOI:	10.1377/hlthaff.2024.00913