Plan Selection, Enrollee Risk, and Health Spending on the Patient Protection and Affordable Care Act Individual Marketplaces, 2019.

Graham Treasure,David M Anderson, Lauren Hatcher,Alexandra E Makhoul,Darren Johnson, Jenna Stefan,Kevin N Griffith

JAMA network open（2023）

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摘要

In this cross-sectional study of the ACA individual marketplace, enrollees who selected plans with higher actuarial value also had greater mean HHS-HCC risk scores and health spending. The findings suggest these differences may be associated with variation in benefit generosity by metal tier, enrollee's perceptions of future health needs, or other barriers to care access.

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enrollee risk,health spending,patient protection,plan selection

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