Provider networks and health plan premium variation.

ABSTRACT:

Objective

To examine how plan premiums are associated with physician network breadth, hospital network breadth, and hospital network quality on the Affordable Care Act's Health Insurance Marketplaces in all 50 states and the DC in 2016.

Data sources

Data on plan premiums and characteristics came from 2016 Robert Wood Johnson Foundation Health Insurance Exchange (HIX) Compare. Provider network information was obtained from Vericred. Hospital characteristics were obtained from CMS Hospital Compare and the American Hospital Association (AHA) survey.

Study design

We analyzed how plan premiums were associated with variations in physician network breadth, hospital network breadth, and hospital network quality using ordinary least square regressions with state-rating area fi

SUBMITTER: Polsky D 

PROVIDER: S-EPMC7839649 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature