title: The role of the individual health insurance market and prospects for change.
abstract: The individual market is the only source of health insurance for the more than 20 percent of Americans not eligible for group or public health insurance; yet participation rates are low and shrinking. This paper examines this market's structural features and assesses the likelihood that it will play an expanded role in the future. We describe how pressures such as cost growth, new technologies, and changes in the nature of the workplace are shaping the individual market. We conclude that the future of the market will depend largely on whether there are policy interventions that balance the problems of affordability, risk sharing, and adverse selection.
authors.affiliation: RAND, Arlington, VA, USA. buntin@rand.org
authors.forename: Melinda Beeuwkes
authors.initials: MB
authors.lastname: Buntin
authors.forename: M Susan
authors.initials: MS
authors.lastname: Marquis
authors.forename: Jill M
authors.initials: JM
authors.lastname: Yeglan
mesh_terms: D000293:Adolescent; D000328:Adult; D003695:Delivery of Health Care / Q000458:organization & administration*; D006291:Health Policy; D006301:Health Services Needs and Demand; D006801:Humans; D007348:Insurance, Health; D008875:Middle Aged; D011050:Policy Making