Trends in the golden state: small-group premiums rise sharply while actuarial values for individual coverage plummet |
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Authors: | Gabel Jon Pickreign Jeremy McDevitt Roland Whitmore Heidi Gandolfo Laura Lore Ryan Wilson Katy |
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Institution: | NORC, Washington, DC, USA. Gabel-Jon@NORC.org |
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Abstract: | Using multiple databases, this paper examines recent trends in the affordability and comprehensiveness of small-group and individual health insurance markets in California. Both became less affordable over the study period. In 2006, a single person age 32-52 earning the median income who purchased individual insurance spent on average 16 percent of income on premiums and out-of-pocket medical expenses. For individual insurance, the share of medical expenses paid by insurance as opposed to patients declined from 2002 to 2006. In the small-group market, premiums rose more than 50 percent from 2003 to 2006, but the proportion of claims paid by insurers for a standardized population remained constant. |
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