Ontology highlight
ABSTRACT:
SUBMITTER: Montz E
PROVIDER: S-EPMC5027954 | biostudies-literature | 2016 Jun
REPOSITORIES: biostudies-literature
Montz Ellen E Layton Tim T Busch Alisa B AB Ellis Randall P RP Rose Sherri S McGuire Thomas G TG
Health affairs (Project Hope) 20160601 6
Under the Affordable Care Act, the risk-adjustment program is designed to compensate health plans for enrolling people with poorer health status so that plans compete on cost and quality rather than the avoidance of high-cost individuals. This study examined health plan incentives to limit covered services for mental health and substance use disorders under the risk-adjustment system used in the health insurance Marketplaces. Through a simulation of the program on a population constructed to ref ...[more]