Employer-sponsored health insurance and the promise of health insurance reform.

نویسندگان

  • Thomas C Buchmueller
  • Alan C Monheit
چکیده

The central role that employers play in financing health care is a distinctive feature of the U.S. health care system, and the provision of health insurance through the workplace has important implications well beyond its role as a source of health care financing. In this paper, we consider the "goodness of fit" of employer-sponsored health insurance (ESI) in the current economic and health insurance environments and in light of prospects for a vigorous national debate over the shape of health care reform. The main issue that we explore is whether ESI can have a viable role in health system reform efforts or whether such coverage will need to be significantly modified or even abandoned as reform seeks to address important issues in the efficient provision and equitable distribution of health insurance coverage.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Medical malpractice reform and employer-sponsored health insurance premiums.

OBJECTIVE Tort reform may affect health insurance premiums both by reducing medical malpractice premiums and by reducing the extent of defensive medicine. The objective of this study is to estimate the effects of noneconomic damage caps on the premiums for employer-sponsored health insurance. DATA SOURCES/STUDY SETTING Employer premium data and plan/establishment characteristics were obtained...

متن کامل

The Effect of an Employer Health Insurance Mandate on Health Insurance Coverage and the Demand for Labor: Evidence from Hawaii

Long before passage of the federal health care reform act in 2010, which eventually will impose an individual mandate to obtain health insurance, policy makers had considered the alternative approach of employer health insurance mandates as a strategy for expanding coverage. At the Federal level, the failed health care reform plans proposed by the Nixon administration in the early 1970s and the...

متن کامل

Playing by the rules and losing: health insurance and the working poor.

Using a sample of 7,734 employed adults from the National Medical Expenditure Survey, this research compares the sources of health insurance coverage and the antecedents of employer-sponsored insurance among the working poor to those at higher income thresholds. Concern with the working poor is warranted because they constitute the majority of the uninsured, they do not qualify for public healt...

متن کامل

Why Health Reform Can’t Wait: The Benefits of Health Reform for Rural America

Rural people are more uninsured (especially in remote rural areas), have higher rates of insurance on the individual market, have lower rates of employer-sponsored insurance, and, on average, have lower incomes. Allowing current health insurance and cost-shifting trends to continue—that is, allowing the status quo to go unchecked by health reform legislation—will have significant consequences f...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Inquiry : a journal of medical care organization, provision and financing

دوره 46 2  شماره 

صفحات  -

تاریخ انتشار 2009