Performance Improvement 2001. Evaluation of High Risk Pools


As a method of assuring availability of insurance in the individual market, the Health Insurance Portability and Accountability Act (HIPAA) alows the use of an acceptable State alternative mechanism in placeof adopting precise HIPAA provisions. One of these accceptable mechanisms is to use a State's High-Risk Pool for HIPAA eligibles. Since the statutory objective of this acceptable mechanism is to guarantee the availability of insurance to individuals, the goal of this project will be to evaluate the best standards for a High Risk Pool to be sustained and to remain an acceptable alternative mechanism for HIPAA eligibles. This project will summarize and detail the similarities and differences between risk pools in the context of the dynamics in individual insurance law for States which have accepted these risk pools as alternative mechanisms.


AGENCY SPONSOR: Center for Medicaid & State Operations

FEDERAL CONTACT: James Fuller, 410-786-3365

PIC ID: 7422

PERFORMER: Abt Associates Inc., Cambridge, MA