The Impact of Income and Cost Sharing on Health Care Use in State-Subsidized Plans

June 2011
Publication Year: 
2011

Presentation by Beth Kilbreth (Univeristy of Southern Maine, Muskie School of Public Service) at AcademyHealth's 2011 Annual Research Meeting.  Dr. Kilbreth discusses the results of a SHARE-sponsored study evaluating risk selection in public health plans in Massachusetts, Maine, and Vermont.  Dr. Kilbreth explores: (1) whether state-sponsored public plans targeting low-income uninsured workers experience adverse selection; (2) to what extent enrollment risk in these programs is affected by enrollee cost sharing; and (3) how out-of-pocket cost sharing affects utilization among low- and moderate- income public plan enrollees.  The presentation concludes with a discussion of the policy implications of the study findings.

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