Health Care Service Price Comparison Suggests That Employers Lack Leverage To Negotiate Lower Prices: Study examines employers' ability to negotiate health …

AP Sen, JY Chang, J Hargraves - Health Affairs, 2023 - healthaffairs.org
Almost two-thirds of the 153 million nonelderly people in the United States who have health
insurance through their employer are in self-insured plans. In contrast to fully insured plans …

The Affordable Care Act and the faltering revolution in behavioral health care

DA Rochefort - International Journal of Health Services, 2018 - journals.sagepub.com
Often described in such terms as a “revolution” and a “game-changer” for the behavioral
health sector in the United States, the Affordable Care Act has helped to enhance coverage …

Prevalence And Profits Of Insurers In The Administrative Services Only Market Serving Self-Insured Employers, 2010–22: Study examines the administrative only …

JM Abraham, AC Cook, ET Sirmans - Health Affairs, 2024 - healthaffairs.org
For 165 million nonelderly Americans, employers provide health insurance either by
purchasing a fully insured plan or through self-insurance. By self-insuring, employers bear …

Employers and the exchanges under the small business health options program: examining the potential and the pitfalls

TS Jost - Health Affairs, 2012 - healthaffairs.org
The health insurance exchange is the centerpiece of the insurance reforms created by the
Affordable Care Act. The Small Business Health Options Program (SHOP) is intended to …

Risk factors for early disenrollment from Colorado's Affordable Care Act Marketplace

SH Gordon, BD Sommers, IB Wilson, O Galarraga… - Medical care, 2019 - journals.lww.com
Background: Midyear disenrollment from Marketplace coverage may have detrimental
effects on continuity of care and risk pool stability of individual health insurance markets …

Small firms' actions in two areas, and exchange premium and enrollment impact

C Eibner, CC Price, R Vardavas, A Cordova… - Health Affairs, 2012 - healthaffairs.org
The Affordable Care Act changed the regulations governing small firms' health insurance
premiums. However, small businesses can avoid many of the new regulations by self …

Lessons from state mandates of preventive cancer screenings

WY Xu, B Dowd, J Abraham - The European Journal of Health Economics, 2016 - Springer
Abstract We use the 1997–2008 Medical Expenditure Panel Survey (MEPS) and variation in
the timing of state mandates for coverage of colorectal, cervical, and prostate cancer …

Financing of employer sponsored health insurance plans before and after health reform: What consumers don't know won't hurt them?

AR Miller, C Eibner, CR Gresenz - International Review of Law and …, 2013 - Elsevier
This paper studies the potential impact on consumers of regulatory arbitrage based on
financing of employment-based health insurance plans in the United States. Consumers …

Modeling employer self‐insurance decisions after the Affordable Care Act

A Cordova, C Eibner, R Vardavas… - Health Services …, 2013 - Wiley Online Library
Objective To present a microsimulation model that addresses the methodological challenge
of estimating the firm decision to self‐insure. Methodology The model considers the risk that …

Does Limiting Allowable Rating Variation in the Small Group Health Insurance Market Affect Employer Self‐Insurance?

E Trish, B Herring - Journal of Risk and Insurance, 2018 - Wiley Online Library
ABSTRACT The Affordable Care Act (ACA) imposes adjusted community rating in the small
group market, which employers can avoid by self‐insuring, raising concerns about adverse …