State subsidized reinsurance programs: Impacts on efficiency, premiums, and expenses of the U.S. health insurance markets

Adida, 2017, Bundled payment vs. fee-for-service: Impact of payment scheme on performance, Management Science, 63, 1606, 10.1287/mnsc.2016.2445 Alzubi, 2022, Improving health insurance markets: Cost efficiency, implementation, and financing of expanding association health plans, Review of Quantitative Finance and Accounting, 59, 671, 10.1007/s11156-022-01054-y Aragon, 2005, Nonparametric frontier estimation: A conditional quantile-based approach, Econometric Theory, 21, 358, 10.1017/S0266466605050206 Ario, J., & Nysenbaum, J. (2018). State reinsurance programs: Design, funding, and 1332 waiver considerations for states. https://www.shvs.org/wp-content/uploads/2018/09/Reinsurance-Brief-Updated_FINAL.pdf. Accessed October 16 2021. Banker, 1984, Some models for estimating technical and scale inefficiencies in DEA, Management Science, 30, 1078, 10.1287/mnsc.30.9.1078 Bollen, 1990, Regression diagnostics: An expository treatment of outliers and influential cases, 257 Brockett, 2004, A Comparison of HMO efficiencies as a function of provider autonomy, Journal of Risk and Insurance, 71, 1, 10.1111/j.0022-4367.2004.00076.x Brockett, 2018, Potential “savings” of MEDICARE: The analysis of Medicare advantage and accountable care organizations (ACOs), North American Actuarial Journal, 22, 458, 10.1080/10920277.2018.1436445 Brockett, 2019, Medicaid managed care: Efficiency, medical loss ratio, and quality of care, North American Actuarial Journal, 25, 1, 10.1080/10920277.2019.1678044 2021 Charnes, 1978, Measuring the efficiency of decision making units, European Journal of Operational Research, 2, 429, 10.1016/0377-2217(78)90138-8 Cooper, 2007 Cox, 2016 Deb, P., Manning, W., & Norton, E. (2014). Modeling health care costs and counts. http://econ.hunter.cuny.edu/parthadeb/wp-content/uploads/sites/4/2014/05/ASHEcon_LosAngeles_minicourse.pdf. Accessed October 16 2021,. Ding, 2020, Service mix, market competition, and cost efficiency: A longitudinal study of U.S. hospitals, Journal of Operations Management, 66, 176, 10.1002/joom.1050 Drake, 2019, Estimated costs of a reinsurance program to stabilize the individual health insurance market: National- and state-level estimates, Inquiry : A Journal of Medical Care Organization, Provision and Financing, 56, 1 Frank, 2000, Impact of a confounding variable on a regression coefficient, Sociological Methods & Research, 29, 147, 10.1177/0049124100029002001 Frank, 2013, What would it take to change an inference? Using Rubin's causal model to interpret the robustness of causal inferences, Educational Evaluation and Policy Analysis, 35, 437, 10.3102/0162373713493129 Frederick, 2022, Individual health insurance reforms in the U.S.: Expanding interstate markets, Medicare for all, or Medicaid for all?, European Journal of Operational Research, 297, 753, 10.1016/j.ejor.2021.06.022 Hainmueller, 2012, Entropy balancing for causal effects: A multivariate reweighting method to produce balanced samples in observational studies, Political Analysis, 20, 25, 10.1093/pan/mpr025 Hall, 2018 Hall, M., & McCue, M. (2021). Expanding consumer health insurance options by easing the boundaries between individual and small-group markets. Commonwealth Fund. https://www.commonwealthfund.org/publications/issue-briefs/2021/oct/expanding-insurance-options-boundaries-individual-small-group-markets. Accessed October 21 2021. Harrington, 2017 Kaffash, 2020, A survey of data envelopment analysis applications in the insurance industry 1993–2018, European Journal of Operational Research, 284, 801, 10.1016/j.ejor.2019.07.034 Karaca-Mandic, 2015, Is the medical loss ratio a good target measure for regulation in the individual market for health insurance?, Health Economics, 24, 55, 10.1002/hec.3002 Liu, 2021 Office of Tax Analysis (OTA) (2021). Method for calculation of section 1332 reinsurance waiver 2021 premium tax credit pass-through amounts. Department of Treasury. https://www.cms.gov/CCIIO/Programs-and-Initiatives/State-Innovation-Waivers/Downloads/1332-OTA-Methodology-Pass-through-Amounts-March-2021.pdf. Accessed October 16, 2021 Polyakova, 2021, Analysis of publicly funded reinsurance—government spending and insurer risk exposure, JAMA Health Forum, 10.1001/jamahealthforum.2021.1992 Rao, 2021 Simar, 1998, Sensitivity analysis of efficiency scores: How to bootstrap in nonparametric frontier models, Management Science, 44, 49, 10.1287/mnsc.44.1.49 Sloan, C., & Rosacker, N. (2019). State-run reinsurance programs reduce ACA premiums by 16.9% on average. avalere health. https://avalere.com/press-releases/state-run-reinsurance-programs-reduce-aca-premiums-by-16-9-on-average. Accessed October 16, 2021. Timbie, 2021 Tone, 2001, A slacks-based measure of efficiency in data envelopment analysis, European Journal of Operational Research, 130, 498, 10.1016/S0377-2217(99)00407-5 Yang, 2014, Health care reform, efficiency of health insurers, and optimal health insurance markets, North American Actuarial Journal, 18, 478, 10.1080/10920277.2014.935438 Yang, 2020, The affordability of the individual markets in the affordable care act: Analyses of premium increases and cost reductions from an expanded cross-subsidization perspective, North American Actuarial Journal, 24, 446, 10.1080/10920277.2019.1664914 Yang, 2017, The (mis)alignment of health insurers’ efficiency measures from different perspectives and their (un)linkage with financial ratios and asset allocation, Journal of Insurance Regulation, 3, 175 Yang, 2017, An efficiency-based approach to determining potential cost savings and profit targets for health insurers: The case of obamacare health insurance CO-OPs, North American Actuarial Journal, 21, 305, 10.1080/10920277.2017.1282318 Zhu, 2013, The power of reinsurance in Health Insurance Exchanges to improve the fit of the payment system and reduce incentives for adverse selection, Inquiry: A Journal of Medical Care Organization, Provision and Financing, 50, 255, 10.1177/0046958014538913