The Latest Research, Commentary, And News From Health Affairs
Wednesday, November 3, 2021
Dear John,
Multiple papers in the November 2021 issue focus on the Affordable Care Act (ACA) Marketplaces.
ACA Marketplaces
In our November issue, David Anderson and Kevin Griffith examined ACA Marketplace offerings and found that two-thirds of Americans have more insurer options in 2021 than they did in 2018, partially reversing a trend of insurer exits from 2016 to 2018.
Paul Jacobs and Steven Hill calculated Marketplace premiums from 2015 to 2019 among families with incomes between four and six times the federal poverty level, who are ineligible for federal subsidies. The share of income required to purchase gold, silver, and bronze plans increased significantlyduring this period.
For example, the premium for the lowest-cost bronze plan grew from 12.2 percent of median family income for people ages 55–64 in 2015 to about 19 percent in 2018 and 2019.
The economic shock of the COVID-19 pandemic led to job losses and people moving into the ACA Marketplaces. John Hsu and coauthors analyzed the relationship
between state policies and the number and risk profile of these new enrollees.
The authors found larger increases in Marketplace enrollment in states that did not expand Medicaid, and higher-cost enrollees joining the Marketplace in states with narrower enrollment criteria.
Today on Health Affairs Blog, Matthew Wynia and coauthors argue that cancelling vaccine mandates for the purpose of upholding personal liberties is not worth the risk.
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The
centerpiece of the November Health Affairs Journal Club meeting is “Estimating The Appropriate Size Of Global Pull Incentives For Antibacterial Medicines.” In this paper from the November 2021 issue of Health Affairs, author Kevin Outterson of the Boston University School of Law examines policy initiatives under way in the US and the UK that explore paying for exceptional antibacterials with “pull” incentives (paid after regulatory approval). The paper lays out a new model for calculating the global incentives required to create a functional antibacterial market.
Date: Wednesday, November 10, 2021 Time: 3:00 p.m. – 4:00 p.m. (EDT) Place: Online details will be shared
with registrants 24 hours in advance of the event.
Health Affairs is the leading peer-reviewedjournalat the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.
Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.
