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Main Title: Enforcing enrollment in health insurance exchanges: evidence from the Netherlands, Switzerland, and Germany
Author(s): Ginneken, Ewout van
Rice, Thomas
Type: Article
Language Code: en
Abstract: Experience from the Netherlands, Switzerland, and Germany suggests that there may be a looming problem concerning uninsured individuals and defaulters that could derail coverage projection numbers in the United States under the Affordable Care Act. In those countries, the young, people with migrant backgrounds, and those with lower incomesprecisely the groups the Affordable Care Act is seeking to coverare overrepresented in the numbers of the uninsured and defaulters, frequently because of difficulty in paying for their premiums. In these three countries, penalties or suspension of coverage alone has not led everyone to purchase coverage or prevented some from defaulting. Help in addressing the vulnerable position of the uninsured may be needed. Examples include using a multifaceted approach in which public authorities help with debt restructuring, freeing some funds in the exchanges to help vulnerable groups, and compensating insurers for their outstanding payments if they follow an agreed protocol instead of canceling coverage.
Issue Date: 2015
Date Available: 23-Oct-2017
DDC Class: 610 Medizin und Gesundheit
Subject(s): health insurance
European countries
Affordable Care Act
Journal Title: Medical care research and review
Publisher: Sage Publications
Publisher Place: London [u.a.]
Volume: 72
Issue: 4
Publisher DOI: 10.1177/1077558715579867
Page Start: 496
Page End: 509
EISSN: 1552-6801
ISSN: 1077-5587
Notes: Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
This publication is with permission of the rights owner freely accessible due to an Alliance licence and a national licence (funded by the DFG, German Research Foundation) respectively.
Appears in Collections:FG Management im Gesundheitswesen » Publications

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