In this month’s Health Affairs, I have a new article co-authored with Coleman Drake of Pitt and Ezra Golberstein of the University of Minnesota. We examine the enrollment effects of Georgia’s Section 1332 Reinsurance Waiver on subsidized enrollment using a matched border county design between Georgia (which adopted a waiver) and the five surrounding states that did not adopt a waiver nor have Medicaid Expansion during the study period.
BLUF: Section 1332 Waivers decrease non-subsidized premiums. These waivers ALSO increase the minimum cost of coverage for subsidized enrollees. Enrollment in the 250-400% FPL group DROPPED BY A THIRD!
WHAT?
Weren’t waivers supposed to make health insurance more affordable?
YEAH BUT…..
The key question in the ACA when we think about affordability is: FOR WHOM?
Unintended Consequences of Section 1332 WaiversPost + Comments (8)



