Rural-Urban Differences In Individual-Market Health Plan Affordability After Subsidy Payment Cuts.

07:00 EST 1st December 2019 | BioPortfolio

Summary of "Rural-Urban Differences In Individual-Market Health Plan Affordability After Subsidy Payment Cuts."

This article investigates changes in the affordability of individual health plans (Marketplace plans) that were compliant with the Affordable Care Act following the termination of cost-sharing reduction subsidy payments in 2017. We examined how states' and insurers' responses to these cuts affected enrollees differently depending on whether they lived in rural or urban geographic areas and were or were not eligible for Advance Premium Tax Credits. Using data for 2014-19 from the Health Insurance Exchange Compare database and other sources, we found that subsidy-eligible enrollees in rural markets gained access to Marketplace plans that were more affordable than those available to their urban counterparts, after the cuts affected premiums in 2018. Average minimum net monthly premiums for subsidized enrollees in majority-rural geographic rating areas decreased from $288 in 2017 to $162 in 2019, while those of their urban counterparts decreased from $275 to $180. In contrast, rural enrollees without subsidies faced the least affordable premiums for Marketplace plans.


Journal Details

This article was published in the following journal.

Name: Health affairs (Project Hope)
ISSN: 1544-5208
Pages: 2032-2040


DeepDyve research library

PubMed Articles [24657 Associated PubMed Articles listed on BioPortfolio]

Hukou system, mechanisms, and health stratification across the life course in rural and urban China.

The literature on rural-urban health disparities have mostly focused on de facto rural/urban differences, and its intersections with de jure rural-urban divide are less understood. This research provi...

Rural Residents With Mental Health Needs Have Fewer Care Visits Than Urban Counterparts.

Analysis of a nationally representative sample of adults with mental health needs shows that rural residents have fewer ambulatory mental health visits than their urban counterparts do. Even among peo...

Urban-rural comparisons in health risk factor, health status and outcomes in Tianjin, China: A cross-sectional survey (2009-2013).

To investigate the urban-rural disparities in health risk factors, health status and outcomes in Tianjin, China and to make an international comparison with urban-rural health in Australia.

Rural Health.

About one in five US residents-nearly 60 million people-live in rural areas, which cover 97 percent of the nation's land mass. People living in rural communities suffer disproportionately from adver...

Breastfeeding Practices in Georgia: Rural-Urban Comparison and Trend Analyses Based on 2004-2013 PRAMS Data.

The Centers for Disease Control and Prevention identified rural mothers as a priority population for targeted breastfeeding promotion programs. In Georgia, breastfeeding rates lag behind the national ...

Clinical Trials [11222 Associated Clinical Trials listed on BioPortfolio]

Does Geography and Place of Residence Affect Cancer Care: An Interview Study

There is existing evidence that rural cancer patients tend to have worse survival outcomes. Potential reasons include: differences in endurance of coping with illness, different attitudes ...

Pre Post Evaluation of Temperature, Steps, and Glucose With Additional Time Spent Outdoors in an Urban and Rural Setting

This research was designed with partners to determine differences in temperature exposures in urban and rural communities in Alabama. The investigators hypothesized that significant differ...

Male:Female Birth Ratios and Phthalate Levels

Objective 1: To assess environmental exposure to chemicals/toxins, including phthalates, among rural and urban Mexican American men and women (n=300), aged 18 to 40, in urban Baytown, TX ...

Reducing Rural Colon Cancer Disparities

The proposed research fills a significant gap in rigorous intervention studies to eliminate rural-urban disparities in cancer outcomes. The persistent poverty and health disparities in Sou...

R.CULT.HEA - URban Environment, CULTural Social Use of Space and HEAlth / Well-being Effect on Population

This cluster randomized trial will test the affect of individual participation in culturally- and socially-related activities on health and well-being, in comparison also with the classic ...

Medical and Biotech [MESH] Definitions

An Act prohibiting a health plan from establishing lifetime limits or annual limits on the dollar value of benefits for any participant or beneficiary after January 1, 2014. It permits a restricted annual limit for plan years beginning prior to January 1, 2014. It provides that a health plan shall not be prevented from placing annual or lifetime per-beneficiary limits on covered benefits. The Act sets up a new competitive health insurance market giving tens of millions of Americans the same choices of insurance that members of Congress will have. It aims to bring greater accountability to health care and to control cost of health insurance premiums.

The process whereby a society changes from a rural to an urban way of life. It refers also to the gradual increase in the proportion of people living in urban areas.

Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.

Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.

The status of health in rural populations.

Quick Search

DeepDyve research library

Searches Linking to this Article