Brief report: Quantifying the impact of autism coverage on private insurance premiums.

Brief report: Quantifying the impact of autism coverage on private insurance premiums.
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DOI:
10.1007/s10803-009-0701-z
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发表时间:
2009-06
影响因子:
3.9
通讯作者:
Mandell, David S.
Mandell, David S.
中科院分区:
心理学3区
文献类型:
--
作者:
Bouder, James N.;Spielman, Stuart;Mandell, David S.

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许多州正在考虑立法要求私人保险公司支付自闭症相关服务的费用。反对授权的理由包括,授权将导致更高的保费。以宾夕法尼亚州的立法为例,该立法建议为21岁以下的个人提供每年高达36,000美元的服务,本文估计了潜在的保费增长。该估计依赖于自闭症治疗的患病率,受影响计划保险的人数,平均每年自闭症支出,行政费用,医疗损失率和保险公司总收入。目前处理的患病率和支出表明,保费增长将接近1%,下限为0.19%,上限为2.31%。决策者可以利用这些结果来评估类似立法的成本效益。
Many states are considering legislation requiring private insurance companies to pay for autism-related services. Arguments against mandates include that they will result in higher premiums. Using Pennsylvania legislation as an example, which proposed covering services up to $36,000 per year for individuals less than 21 years of age, this paper estimates potential premium increases. The estimate relies on autism treated prevalence, the number of individuals insured by affected plans, mean annual autism expenditures, administrative costs, medical loss ratio, and total insurer revenue. Current treated prevalence and expenditures suggests that premium increases would approximate 1%, with a lower bound of 0.19% and an upper bound of 2.31%. Policy makers can use these results to assess the cost-effectiveness of similar legislation.
DOI: 10.1001/jama.272.7.552
发表时间: 1994-08-17
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