BiotechMashup

(Johns Hopkins University Bloomberg School of Public Health) Researchers at the Johns Hopkins Bloomberg School of Public Health examine why health reform could lead to favorable or adverse risk selection across health plans. The article reviews provisions within the Affordable Care Act legislation and discusses key risk-adjustment implementation issues for states establishing health insurance exchanges. Results from a simulation using data from 5 million insured persons show how risk-adjusted transfer payments will be essential to help minimize selection bias across participating health plans.