NATIONAL BUREAU OF ECONOMIC RESEARCH
NATIONAL BUREAU OF ECONOMIC RESEARCH
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Health Plan Payment in U.S. Marketplaces: Regulated Competition with a Weak Mandate

Timothy Layton, Ellen J. Montz, Mark Shepard

NBER Working Paper No. 23444
Issued in May 2017

---- Acknowledgments ----

This essay was prepared as a chapter in "Risk Adjustment, Risk Sharing, and Premium Regulation in Health Insurance Markets: Theory and Practice" edited by Thomas McGuire and Richard van Kleef and published by Elsevier. We thank the editors for helpful comments. Layton acknowledges funding from the Laura and John Arnold Foundation and from the National Institute of Mental Health (R01 MH094290). Montz acknowledges support from grant number T32HS000055 from the Agency for Healthcare Research and Quality. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Agency for Healthcare Research and Quality. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research.

---- Disclosure of Financial Relationships for Timothy Layton ----

Disclosures, Timothy Layton

No funder or other agency had the opportunity to review this research prior to publication. Potentially relevant professional and financial relationships in the past 3 years:

1. NIMH Postdoctoral Fellowship [T32-019733] (salary)

2. Harvard Medical School: Assistant Professor (salary)

3. Litigation consulting with Greylock MacKinnon and Associates (consulting fees $30-40k)

4. Consulting fees from University of Texas – Austin for project “Selection Incentives in US Health Plan Design.” [funded by Pfizer] ($10k)

5. Grant from John and Laura Arnold Foundation. “Risk Adjustment Re-design.” Co-investigator. (12% time)

6. Grant from NIMH. “Mental Health Coverage and Payment in Private Health Plans.” [R01-MH094290] Co-investigator. (20% time)

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