Public Option Premium Change Illustration By Rating Area

Public Option Premium Change Illustration By Rating Area

Illustrate Federal Premium Spending Impact of Public Option Policy Interventions

  • Explore impact of differential urban/rural health provider rate changes
  • Construct Health Insurance Rating Areas based on Sub-State Units & Rating Rules
  • Automate a mapping pipeline of policy impact visualization

1. Policy Take-aways Illustrated

Public options, a closely evaluated health policy intervention by the public sector to spur provider competition and patient savings, could take many forms in the US health system.

Interactions between providers and health plan carriers are shaped by competitive landscapes on either end, while different dimensions of health care service / spending have different potentials for reimbursement oriented reforms.

Regional Dynamics in Hospital and Physician Reimbursement Context

We explore a series of 7 illustrative scenarios, in which provider reimbursement rates would be subject to region specific cuts, and several levels of prescription drug savings are added for illustrative purposes.

Scenario Reforms
1 Standard Reimbursement Rate Reduction, plus 6.87% prescription drug spending savings
2 Standard Reimbursement Rate Reduction, plus 10.61% prescription drug spending savings
3 Scenario 1, plus further cuts in regions with one insurer
4 Scenario 1, plus further cuts in regions with two or fewer insurers
5 Scenario 1, 10% reimbursement boost for rural providers
6 Scenario 1, 15% reimbursement boost for all hospitals, and 10% boost for rural physicians
7 Scenario 6, except rural hospitals now given a 40% reimbursement boost

Synthesize Findings into a Spectrum of Visualized Illustrations

Behind this mildly satisfying animated illustration, it is important to note that such analysis would not be possible without first and foremost understanding and programmatically expressing the regulatory landscape of health insurance rating rules across states. This, we shall explore in part 2 below.