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Study questions Obamacare impact on canceled plans - Sarah Wheaton - POLITICO.com
Millions of the plans that were canceled because they did not meet Affordable Care Act requirements probably would have been canceled anyway — by the policyholders, a new study suggests.
Last fall, as cancellation letters arrived in mailboxes around the country, opponents of the law cited them as evidence that President Barack Obama had lied to Americans when he promised, “If you like your health care plan, you can keep it.”
But most individuals who lost plans probably would not have continued them even without the law, according to the study, which was published online Wednesday in Health Affairs. Its author questions whether those cancellations contributed much to the nationÂ’s ranks of short-term uninsured.
The study looked at people who bought non-group, or individual, insurance plans — a market that was relatively unstable even before Obamacare took effect. Between 2008 and 2011, fewer than half the people who started out with such coverage still had it after a year. And 80 percent of those who changed policies had a new plan within a year, usually through an employer, the study found.
Given this baseline, author Benjamin Sommers says, “the effects of the recent cancellations are not necessarily out of the norm.”
Here is the link to the website where the study was published:
http://content.healthaffairs.org/content/early/2014/04/14/hlthaff.2014.0005
Here is the abstract:
Recent cancellations of nongroup health insurance plans generated much policy debate and raised concerns that the Affordable Care Act (ACA) may increase the number of uninsured Americans in the short term. This article provides evidence on the stability of nongroup coverage using US census data for the period 2008–11, before ACA provisions took effect. The principal findings are threefold. First, this market was characterized by high turnover: Only 42 percent of people with nongroup coverage at the outset of the study period retained that coverage after twelve months. Second, 80 percent of people experiencing coverage changes acquired other insurance within a year, most commonly from an employer. Third, turnover varied across groups, with stable coverage more common for whites and self-employed people than for other groups. Turnover was particularly high among adults ages 19–35, with only 21 percent of young adults retaining continuous nongroup coverage for two years. Given estimates from 2012 that 10.8 million people were covered in this market, these results suggest that 6.2 million people leave nongroup coverage annually. This suggests that the nongroup market was characterized by frequent disruptions in coverage before the ACA and that the effects of the recent cancellations are not necessarily out of the norm. These results can serve as a useful pre-ACA baseline with which to evaluate the law’s long-term impact on the stability of nongroup coverage.
You can read the entire study HERE (as .txt) or HERE (as. pdf)
I'm not willing to say any more about the study itself until I have read every word of it. People who know me know that I often criticize studies for tweaking numbers or misrepresenting stuff, but until I find evidence to the contrary, I will take the study at face-value.
Just to be clear: Health Affairs is a non-partisan journal and has been around since 1981. Lots of people, lots of pols on both the Left and the Right have quoted from Health Affairs.
So, before anyone gets angry at a study like this, go read it first.
And finally, the usual caveat: this is just one study. Just like only one poll, it doesn't have a huge amount of meaning, but there is usually a kernel of the truth in almost every study.
And - here is information on the author of the study:
Benjamin Sommers | Benjamin Sommers | Harvard School of Public Health
And his resume:
http://www.hsph.harvard.edu/benjamin-sommers/files/2013/01/Sommers_CV.pdf