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In main analyses, we analyze Exchange in-network reimbursement and premium growth dynamics across 55 Exchange plan networks spanning 16 states, including Aetna and a set of large individual-market competitors (e.g., UnitedHealthcare, Cigna)

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Potential confounding variables investigated included: exposure to an infectious case, length of time living in a high risk environment, age, race, gender, MBI, education, employment history, use of alcohol or drugs, history of silicosis, diabetes status, HIV status, history of cancer, and utilization of immunosuppressive therapy

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Defining a substance as addictive and defining its overuse as a disorder or a disease have helped free users from the trap of labels