HPI Seminar: Saumya Chatrath
Saumya Chatrath
ACA Marketplace Special Enrollment Period (SEP) enrollees have higher costs than Open Enrollment Period (OEP) enrollees. In this project we seek to establish whether SEP enrollees are sicker than OEP enrollees, or whether they are more likely to seek predictable or discretionary care. We find that SEP enrollees are more likely than OEP enrollees to require medical care across all types of utilization. We also analyze the consequences of a CMS rule change in June 2016 that tightened eligibility verification requirements for SEP enrollees and find that it disproportionately reduced enrollment among patients seeking predictable medical care.
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