A proposal to bolster ACA exchanges: Look to Medicare Advantage

Healthcare DIVE January 31, 2018
Les Masterson

Dive Brief:

• Payers are flocking to Medicare Advantage while fleeing the Affordable Care Act exchanges. The Urban Institute studied the reason payers have stayed in MA and provided a possible model for the ACA marketplaces that uses what’s worked in MA.
• In the paper published on the Robert Wood Johnson Foundation site, the researchers suggested five MA-inspired policies that could stabilize the ACA market.
• The Urban Institute, which backs the ACA, recommended increasing premium and cost-sharing reduction (CSR) subsidies, eliminating short-term catastrophic plans and changing payment rates.

Dive Insight:

Payers, especially national insurance companies, have increasingly left the ACA exchanges and in some cases expanded MA offerings. The Urban Institute looked into what is benefiting payers and creating...

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