Full Citation

Title: Community Characteristics and Qualified Health Plan Selection during the First Open Enrollment Period.

Citation Type: Journal Article

Publication Year: 2017

ISBN:

ISSN: 1475-6773

DOI: 10.1111/1475-6773.12525

NSFID:

PMCID:

PMID: 27349572

Abstract: OBJECTIVE To examine state and community factors that contributed to geographic variation in qualified health plan selection during the first open enrollment period. DATA SOURCES/STUDY SETTING Administrative data on qualified health plan selections at the ZIP code area merged with survey estimates from the American Community Survey. STUDY DESIGN Descriptive and regression analyses. DATA COLLECTION/EXTRACTION METHODS Data were generated by healthcare.gov and from a household survey. PRINCIPAL FINDINGS Thirty-one percent of the variation in qualified health plan selection ratios resulted from between-state differences, and the rest was driven by local area differences. Education, language, age, gender, and the ethnic composition of communities contributed to disparate levels of plan selection. Medicaid expansion states had a qualified health plan selection ratio that was 4.4 points lower than non-Medicaid expansion states, controlling for covariates. CONCLUSIONS Our results suggest community-level differences in the intensity or receptiveness to outreach and enrollment activities during the first open enrollment period.

Url: http://www.ncbi.nlm.nih.gov/pubmed/27349572

Url: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC5441505

User Submitted?: No

Authors: Boudreaux, Michel H; Blewett, Lynn A; Fried, Brett; Hempstead, Katherine; Karaca-Mandic, Pinar

Periodical (Full): Health services research

Issue: 3

Volume: 52

Pages: 1223-1238

Countries: