Tobacco surcharges on 2015 health insurance plans sold in federally facilitated marketplaces: Variations by age and geography and implications for health equity

Alex C. Liber, Jeffrey M. Drope, Ilana Yonas, Teresa Waters, Cameron Kaplan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

In 2014, few health insurance plans sold in the AffordableCareAct'sFederally Facilitated Marketplaces had age-dependent tobacco surcharges, possibly because of a system glitch. The 2015 tobacco surcharges show wide variation, with more plansimplementingtobacco surcharges that increase with age. This underscores concerns that older tobacco users will find postsubsidy health insurance premiums difficult to afford. Future monitoring of enrollment will determine whether tobacco surcharges cause adverse selection by dissuading tobacco users, particularly older users, from buying health insurance.

Original languageEnglish (US)
Pages (from-to)S696-S698
JournalAmerican Journal of Public Health
Volume105
DOIs
StatePublished - Nov 1 2015

Fingerprint

Geography
Health Insurance
Tobacco
Insurance
Health Equity

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

@article{b56bde36ba674e538ca559993ee56ed6,
title = "Tobacco surcharges on 2015 health insurance plans sold in federally facilitated marketplaces: Variations by age and geography and implications for health equity",
abstract = "In 2014, few health insurance plans sold in the AffordableCareAct'sFederally Facilitated Marketplaces had age-dependent tobacco surcharges, possibly because of a system glitch. The 2015 tobacco surcharges show wide variation, with more plansimplementingtobacco surcharges that increase with age. This underscores concerns that older tobacco users will find postsubsidy health insurance premiums difficult to afford. Future monitoring of enrollment will determine whether tobacco surcharges cause adverse selection by dissuading tobacco users, particularly older users, from buying health insurance.",
author = "Liber, {Alex C.} and Drope, {Jeffrey M.} and Ilana Yonas and Teresa Waters and Cameron Kaplan",
year = "2015",
month = "11",
day = "1",
doi = "10.2105/AJPH.2015.302694",
language = "English (US)",
volume = "105",
pages = "S696--S698",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",

}

TY - JOUR

T1 - Tobacco surcharges on 2015 health insurance plans sold in federally facilitated marketplaces

T2 - Variations by age and geography and implications for health equity

AU - Liber, Alex C.

AU - Drope, Jeffrey M.

AU - Yonas, Ilana

AU - Waters, Teresa

AU - Kaplan, Cameron

PY - 2015/11/1

Y1 - 2015/11/1

N2 - In 2014, few health insurance plans sold in the AffordableCareAct'sFederally Facilitated Marketplaces had age-dependent tobacco surcharges, possibly because of a system glitch. The 2015 tobacco surcharges show wide variation, with more plansimplementingtobacco surcharges that increase with age. This underscores concerns that older tobacco users will find postsubsidy health insurance premiums difficult to afford. Future monitoring of enrollment will determine whether tobacco surcharges cause adverse selection by dissuading tobacco users, particularly older users, from buying health insurance.

AB - In 2014, few health insurance plans sold in the AffordableCareAct'sFederally Facilitated Marketplaces had age-dependent tobacco surcharges, possibly because of a system glitch. The 2015 tobacco surcharges show wide variation, with more plansimplementingtobacco surcharges that increase with age. This underscores concerns that older tobacco users will find postsubsidy health insurance premiums difficult to afford. Future monitoring of enrollment will determine whether tobacco surcharges cause adverse selection by dissuading tobacco users, particularly older users, from buying health insurance.

UR - http://www.scopus.com/inward/record.url?scp=84946762477&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946762477&partnerID=8YFLogxK

U2 - 10.2105/AJPH.2015.302694

DO - 10.2105/AJPH.2015.302694

M3 - Article

C2 - 26447913

AN - SCOPUS:84946762477

VL - 105

SP - S696-S698

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

ER -