保险公司如何应对金融风险分担监管?来自《平价医疗法案》的证据

How do insurance firms respond to financial risk sharing regulations? Evidence from the Affordable Care Act

Health Economics · 2021
被引 8
人大 A-

中文导读

研究了《平价医疗法案》下风险走廊计划对保险公司保费设定的影响,发现该计划意外终止后,此前申请过风险走廊赔付的保险公司保费增长更快。

Abstract

Many insurance markets have reinstated premium stabilization programs to ensure financial protection from market volatility. In this paper, we focus on one such regulation-risk corridors (RCs)-in the context of the Health Insurance Marketplaces established under the Affordable Care Act. We develop a model to show how the program provided incentives for some insurers to lower their premiums. The RCs program was defunded unexpectedly for coverage year 2016, before its legislated end in 2016. Consistent with the model, we find that making a RCs claim before the program ended is associated with higher premium growth after the program's demise. The model and empirical evidence are consistent with the view that the end of the RCs program contributed to premium growth in the Marketplaces.

风险走廊保费增长平价医疗法案保险市场稳定