New York Insurance Markets and the Affordable Care Act

This study, prepared by Health Management Associates (HMA), describes the current state of New York’s individual and small group insurance markets, including the market concentration of insurers, geographic distribution of enrollment, cost sharing and actuarial value of plans offered, and the distribution channels for accessing insurance in these markets. 

Next, HMA reviews changes to the insurance markets and market rules that are required by the Affordable Care Act, describes how New York implemented the 2010 ACA market reforms, and reviews the potential impact of changes that are scheduled to occur in 2014.  And, finally the report discusses the potential for adverse risk selection potentially associated with the development of the Exchange and recommends strategies for minimizing adverse selection.

Published December 2012