When All That Glitters Is Gold: Dominated Plan Choice on Covered California for the 2018 Plan Year.

ABSTRACT: Policy Points Purchasing health insurance is a complex task with multiple potential points of failure. In 2018, following the silver-loading price shock, 20.2% of households earning above 200% of the federal poverty level with coverage through the two Covered California insurers who sold dominated silver plans purchased the inferior, dominated silver plan. Individuals who were automatically reenrolled were more likely to purchase an inferior, dominated plan. Automatic reenrollment rules and marketplace choice architecture should be modified to avoid placing people into dominated health insurance policies and help consumers more easily select superior coverage for themselves.

Context

The Affordable Care Act (ACA) individual health insurance marketplaces rely on purchasers to make inf

SUBMITTER: Rasmussen PW 

PROVIDER: S-EPMC8718582 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature