Background
Overview of the ACA marketplace and other health insurance systems
Premium subsidies
Changes in the marketplace
Methods
Data
Cost of staying
2014–2015 | 2015–2016 | 2014–2016 | |
Stay Only |
N = 987 (39.3%)
|
N = 641 (25.5%)
|
N = 365 (14.5%)
|
Premiums | |||
Avg. Year-Over-Year Change (%) | 7.7% | 13.3% | 18.4% |
Avg. Year-Over-Year Change ($) | $41.00 | $76.50 | $105.77 |
Counties with Premium Increase (%) | 90.3% | 92.2% | 95.1% |
Counties with Premium Decrease (%) | 9.7% | 7.8% | 4.9% |
Medical Deductible | |||
Avg. Year-Over-Year Change ($) | -$1.82 | -$148.36 | -$234.04 |
Avg. Year-Over-Year Change (%) | −0.1% | −4.1% | −5.9% |
Issuer/Plan Type | |||
Counties with No Change (%) | 99.9%† | 90.6%†† | 60.5% |
2014-2015 | 2015–2016 | 2014–2016 | |
Switch Only |
N = 175 (7.0%)
|
N = 159 (6.3%)
|
N = 352 (14.0%)
|
Premiums | |||
Avg. Year-Over-Year Change (%) | 23.3% | 21.5% | 25.7% |
Avg. Year-Over-Year Change ($) | $120.43 | $110.88 | $133.15 |
Counties with Premium Increase (%) | 93.1% | 100.0% | 98.0% |
Counties with Premium Decrease (%) | 6.9% | 0.0% | 2.0% |
Medical Deductible | |||
Avg. Year-Over-Year Change ($) | $1271.71 | $133.33 | $525.43 |
Avg. Year-Over-Year Change (%) | 52.5% | 4.4% | 20.3% |
Issuer/Plan Type | |||
Counties with No Change (%) | 0.0% | 0.0% | 0.0% |
2014–2015
N = 1350 (53.7%)
| 2015–2016
N = 1712 (68.2%)
| 2014–2016
N = 1795 (71.5%)
| ||||
---|---|---|---|---|---|---|
Choice to Stay | Choice to Switch | Choice to Stay | Choice to Switch | Choice to Stay | Choice to Switch | |
Premiums | ||||||
Avg. Year-Over-Year Change (%) | 7.1% | −1.5% | 19.9% | 10.7% | 27.4% | 13.5% |
Avg. Year-Over-Year Change ($) | $42.31 | -$9.18 | $118.09 | $63.08 | $156.37 | $77.08 |
Counties with Premium Increase (%) | 87.2% | 49.9% | 97.0% | 81.5% | 95.3% | 82.0% |
Counties with Premium Decrease (%) | 12.8% | 50.1% | 3.0% | 18.5% | 4.7% | 18.0% |
Medical Deductible | ||||||
Avg. Year-Over-Year Change ($) | $52.52 | -$42.52 | -$515.01 | $369.93 | -$541.67 | $347.21 |
Avg. Year-Over-Year Change (%) | 1.6% | −1.3% | −14.3% | 10.3% | −15.1% | 9.7% |
Issuer/Plan Type | ||||||
Counties with No Change (%) | 99.1% | 25.1% | 88.3% | 36.8% | 36.2% | 5.1% |
With Subsidy at 300% FPL | ||||||
2014–2015 | 2015–2016 | |||||
Change in Premium | Cost of Stayinga | Change in Premium | Cost of Stayinga | |||
Stay
|
Switch
|
Difference
|
Stay
|
Switch
|
Difference
| |
Remained Lowest-Cost |
N = 987 counties
|
N = 641 counties
| ||||
27-year-old | $14.51 | $0.00 | $19.73 | $0.00 | ||
50-year-old | $8.07 | $0.00 | -$0.44 | $0.00 | ||
60-year-old | $9.33 | $0.00 | -$0.80 | $0.00 | ||
No Longer Lowest-Cost |
N = 1350 counties
|
N = 1712 counties
| ||||
27-year-old | $19.04 | -$1.00 | $20.04 | $38.98 | $17.55 | $21.43 |
50-year-old | $37.10 | $3.11 | $33.99 | $36.37 | $0.04 | $36.33 |
60-year-old | $54.89 | $3.41 | $51.48 | $54.95 | -$0.06 | $55.01 |
Discontinued |
N = 175 counties
|
N = 159 counties
| ||||
27-year-old | $46.50 | No Coverage | $37.04 | No Coverage | ||
50-year-old | -$1.17 | No Coverage | $2.27 | No Coverage | ||
60-year-old | -$3.06 | No Coverage | $1.98 | No Coverage | ||
No Subsidy at > 400% FPL | ||||||
2014–2015 | 2015–2016 | |||||
Change in Premium | Cost of Staying | Change in Premium | Cost of Staying | |||
Stay
|
Switch
|
Difference
|
Stay
|
Switch
|
Difference
| |
Remained Lowest-Cost |
N = 987 counties
|
N = 641 counties
| ||||
27-year-old | $15.84 | $0.00 | $29.54 | $0.00 | ||
50-year-old | $26.99 | $0.00 | $50.34 | $0.00 | ||
60-year-old | $41.00 | $0.00 | $76.50 | $0.00 | ||
No Longer Lowest-Cost |
N = 1350 counties
|
N = 1712 counties
| ||||
27-year-old | $16.50 | -$3.54 | $20.04 | $45.89 | $24.46 | $21.43 |
50-year-old | $27.95 | -$6.04 | $33.99 | $77.90 | $41.58 | $36.33 |
60-year-old | $42.31 | -$9.18 | $51.49 | $118.09 | $63.08 | $55.01 |
Discontinued |
N = 175 counties
|
N = 159 counties
| ||||
27-year-old | $46.50 | No Coverage | $43.64 | No Coverage | ||
50-year-old | $79.25 | No Coverage | $73.51 | No Coverage | ||
60-year-old | $120.43 | No Coverage | $110.88 | No Coverage |