Health Insurance Exchange (HIX) Compare

Data on Marketplace Plans from Every State & District of Columbia

IMG_8428_HIRES

The HIX Compare dataset provides information on benefit design and cost-sharing for health plans offered in all 50 states and the District of Columbia.

 

Special Reports:

Issue Briefs:

HIX Compare issue briefs include data on premiums, network composition, deductibles, out-of-pocket limits, and copayment and coinsurance amounts.

Blogs:

2014 Dataset:

These 2014 data were collected from state and federal government-sponsored exchange websites, and provide perspective on consumer choice and affordability under the ACA.

2015 Datasets:

In 2014, Breakaway Policy Strategies (Breakaway) partnered with the Robert Wood Johnson Foundation (RWJF) to make available to the public in open source a dataset (HIX Compare) containing premiums and benefit design and cost sharing information for all Silver plans sold through the new Affordable Care Act (ACA) health insurance exchanges (Exchanges).[i] While the most comprehensive dataset of its kind, the 2014 HIX Compare dataset did not include information on the cost sharing reduction plans (CSR Plans) available to enrollees with incomes up to 250 percent of the federal poverty level (FPL).[1]

For 2015, Breakaway and RWJF have expanded the HIX Compare dataset to include benefit design and cost sharing information for three CSR Plan variations, referred to below as 73%, 87% and 94% Plans, for Exchanges in all 50 states plus the District of Columbia.[2] Breakaway obtained CSR Plan data for the federally-facilitated Exchanges (FFEs) from the Centers for Medicare and Medicaid Services (CMS) Health Insurance Marketplace Landscape and Public Use Files.[ii] For state-based Exchanges (SBEs), Breakaway obtained data from plan summaries of benefits and coverage (SBCs) made available through the SBE websites. In cases where information was not available through the state website, Breakaway obtained the data directly from SBCs posted on the insurance carriers’ websites. If a carrier did not post the SBC, Breakaway did not include the plan in the dataset.

 

 

 

[1] For 2015, the FPL is $ 11,770 for an individual and $ 24,250 for a family of four. http://aspe.hhs.gov/poverty/15poverty.cfm

[2] Eligibility to purchase CSR Plans is based on income as follows.  Individuals with incomes from: 200-250 percent of the FPL are eligible for 73% Plans; 150-200 percent of the FPL are eligible for 87% Plans; and 100-150 percent of the FPL are eligible for 94% Plans. While the scope of this report is limited to these three variations, there also are zero and limited cost sharing plans available to Native Alaskans and American Indians.

[i] Breakaway Policy Strategies. "Health Insurance Exchange (HIX) Compare." Robert Wood Johnson Foundation, Feb. 2015. http://www.rwjf.org/en/library/research/2014/03/breakaway-policy-dataset.html

[ii] "Health Insurance Marketplace Public Use Files (Marketplace PUF)." Center for Consumer Information & Insurance Oversight. Centers for Medicare and Medicaid Services, 31 Jan. 2015. http://www.cms.gov/CCIIO/Resources/Data-Resources/marketplace-puf.html

About Breakaway Policy Strategies

The HIX Compare dataset is a collaboration between Breakaway Policy Strategies and the Robert Wood Johnson Foundation. Breakaway Policy Strategies is a health policy firm based in Washington, D.C. that provides strategic advice, research, and analysis to a range of health care stakeholders. For more information, please visit www.breakawaypolicy.com.

If you have any questions regarding the HIX Compare dataset, please contact Gina Boscarino at gboscarino@breakawaypolicy.com.  

A Note to Researchers

If you are using the HIX Compare dataset for research purposes, please cite the dataset as follows:

Breakaway Policy Strategies. (2014): HIX Compare Dataset

 

Real-Time Policy Analysis

Urban Institute Quick Strikes are a series of timely briefs that examine a variety of health insurance coverage issues in the United States.

Learn more

State Health Access Data Assistance Center

SHADAC helps states monitor rates of health insurance coverage and provides technical assistance.

Read more

Monitoring & Tracking ACA Implementation

The Urban Institute's monitoring and tracking series analyzes trends across diverse states on key health reform implementation issues.

Learn more