Health Reform and the Individual Insurance Market
New Issue Brief models possible scenarios that could have major impacts on enrollment
As a direct outcome of the Affordable Care Act (ACA), an estimated 32 million individuals will no longer be uninsured by 2014. Starting January 1 of that year, ACA introduces incentives and penalties to encourage individuals to maintain a required minimum level of health insurance coverage, defined as a government-sponsored plan, employer-sponsored insurance (ESI), or a plan offered through the individual market.
Changes in the individual insurance market could ripple across every sector of the U.S. health care delivery system. The potential for rapid expansion of this market is strong; forces impacting employer-sponsored coverage and a shifting workforce suggest the market will be robust. Also, the implementation of health care reform initiatives such as health insurance exchanges and subsidies for insurance purchases by those under qualified income thresholds could make individual coverage more prevalent than employer-sponsored group coverage.
The Impact of Health Reform on the Individual Insurance Market: A strategic assessment, a new Issue Brief by the Deloitte Center for Health Solutions:
- Examines the individual or non-group insurance market and outlines factors that are likely to drive changes
- Details ACA provisions that introduce levers at the individual, employer, and system level which are anticipated to shift individuals throughout the insurance market
- Introduces “The Impact of Health Reform on Health Insurance Coverage: Projection Scenarios Over 10 Years,” Deloitte’s actuarial-based tool that models change scenarios
- Explores several possible scenarios that could have major impacts on enrollment in the individual market
- Discusses potential implications for industry stakeholders, including state and federal government, commercial health insurance plans, health care providers, employers, supply chain members, and consumers