Health Affairs May 17, 2018
Recently, the team of Stan Dorn, James Capretta, and Lanhee Chen—in an excellent pair of posts on Health Affairs Blog—sketched out a pathway toward using an auto-enrollment process that would promote much higher levels of insurance coverage, while being minimally coercive and invasive. One of their major policy goals was to improve the aggregated morbidity of the Affordable Care Act (ACA) individual market risk pools to bring down nonsubsidized premiums and lower per capita federal subsidies for subsidized individuals. Auto-enrolling uninsured individuals, who tend to be healthier than insured individuals, into the individual market where “metal” plans are sold would achieve this goal.
Dorn, Capretta, and Chen examined the opportunities for states to integrate their tax and social service data...
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