Expert: Despite Study, Pandemic Adverse Selection Unlikely

September 7

An Aug. 20 study published in the journal Health Affairs found that costs for individual exchange plan members who enroll during special enrollment periods (SEPs) are higher than costs for members who enroll during open enrollment.

However, one expert says that the unique circumstances of the COVID-19 pandemic mean that adverse selection in SEPs meant to address the crisis is not as risky as in a normal SEP.

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Health Plan Weekly

Peter Johnson

Peter has worked as a journalist since 2011 and has covered health care since 2020. At AIS Health, Peter covers trends in finance, business and policy that affect the health insurance and pharma sectors. For Health Plan Weekly, he covers all aspects of the U.S. health insurance sector, including employer-sponsored insurance, Medicaid managed care, Medicare Advantage and the Affordable Care Act individual marketplaces. In Radar on Drug Benefits, Peter covers the operations of (and conflicts between) pharmacy benefit managers and pharmaceutical manufacturers, with a particular focus on pricing dynamics and market access. Before joining AIS Health, Peter covered transportation, public safety and local government for various outlets in Seattle, his hometown and current place of residence. He graduated with a B.A. from Colby College.

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