Thomas G. McGuire, Ph.D.
|Title||Professor of Health Economics in the Department of Health Care Policy|
|Institution||Harvard Medical School|
|Department||Health Care Policy|
|Address||Harvard Medical School|
Dept of Health Care Policy
180 Longwood Ave
Boston MA 02115
Available: 09/01/12, Expires: 08/31/13
One of the important elements of health care reform in the U.S. is creation of health care “exchanges” at the state level in which individuals would purchase health insurance. During the summer of 2013, the approaches various states are taking to regulate the payments to exchange health insurance plans will be beginning to take shape. For example, states will be deciding about the nature of risk adjustment to be applied to exchange payments, and the structure of any reinsurance to be required of plans. These features are designed to both limit the risk to health insurers (and thereby encourage their participation) and provide appropriate incentives to plans.
This project would involve collection and summary of information about some elements of state approaches to health insurance exchange plan payment, and analysis of the pluses and minuses of the approaches from the standpoint of health policy.
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