Forefront: Two Approaches To Capping Health Care Prices
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Thursday, March 31, 2022 | The Latest Research, Commentary, And News From Health Affairs
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ACA Marketplace
Two papers in the March issue of Health Affairs discuss topics related to the Affordable Care Act Marketplace.

Thomas Tsai and coauthors find that about half of Affordable Care Act (ACA) Marketplace enrollees live in counties where the health plan offering with the highest quality rating is three stars out of five.

In comparison, 46 percent have access to a four- or five-star-rated plan.

Overall, there are no disparities in access to high-rated plans in counties with a higher percentage of Black or Hispanic residents.

"Taken together, these results suggest that medium- and high-rated plans are widely available on the federally facilitated ACA Marketplace, but consumers will need to consider the potential trade-offs of quality versus premium cost," the authors conclude.

In an additional article, authors examine surcharge rates for tobacco users. The ACA permits insurers to charge tobacco users who have nongroup coverage up to 50 percent more than nonusers of tobacco.

Ernest Dorilas and coauthors find that the tobacco surcharge rate averages approximately 14 percent and that it is associated with lower total enrollment as well as a reduced share of total enrollees who reported any tobacco use.

Elsewhere At Health Affairs
Today in Health Affairs Forefront, articles cover topics including health care prices and innovation in the health care sector.

Prices for health care services in the commercial sector in the US are high and vary widely within and across geographic markets.

Michael Chernew and coauthors consider two strategies to limit health care prices: comprehensive price caps supported by rate review and out-of-network price caps.

Lisa Simpson and Karen DeSalvo examine the innovations that transpired during the pandemic, such as telehealth services, and how to sustain the next generation of innovation beyond COVID-19.

Elevating Voices: Trans Day Of Visibility: We are continuing our Elevating Voices series today in honor of Trans Day Of Visibility.

Check out this tweet thread highlighting Health Affairs articles, Forefront articles, and Narrative Matters essays that focus on health and well-being among the trans and nonbinary communities.

Daily Digest
Jobs At Health Affairs

Health Affairs is the perfect place to advance your career while contributing to the leading research and analysis on improving health policy and health care.

Our team contains a deep bench of experienced professionals in health policy, dedicated to making health care better. Below are the current job openings at Health Affairs:

 
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About Health Affairs

Health Affairs is the leading peer-reviewed journal at 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.

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