Thursday, October 15, 2009

What Level of Coverage Will Health Reform Likely Provide? The Basics of Actuarial Value — Center on Budget and Policy Priorities

By Sarah Lueck

Each of the major health reform proposals Congress is considering sets standards for the coverage that the insurance plans offered through new health insurance exchanges would provide. To measure whether an insurance plan meets these standards, the bills rely on the use of “actuarial value.” This analysis explains the concept of actuarial value, its strengths and limitations, and how the major health reform proposals would use it. The main observations and findings are as follows:
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