Sorting Out the Health Risk in California's State-Based Marketplace.

ABSTRACT:

Objective

To characterize the health risk of enrollees in California's state-based insurance marketplace (Covered California) by metal tier, region, month of enrollment, and plan.

Data source/study setting

2014 Open-enrollment data from Covered California linked with 2012 hospitalization and emergency department (ED) visit records from statewide all-payer administrative databases.

Data collection/extraction methods

Chronic Illness and Disability Payment System (CDPS) health risk scores derived from an individual's age and sex from the enrollment file and the diagnoses captured in the hospitalization and ED records. CDPS scores were standardized by setting the average to 1.00.

Principal findings

Among the 1,286,089 enrollees, 120,573 (9.4 percent) had at least o

SUBMITTER: Bindman AB 

PROVIDER: S-EPMC4722210 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature