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The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance
The Difference Different Approaches Make: Comparing Proposals to Expand Health InsuranceThis paper estimates and compares the impacts of alternative mechanisms for expanding health insurance coverage. A variety of approaches-expansions of existing public programs, direct subsidies, and tax credits-and target populations-including children, poor adults, parents of Medicaid- or CHIP-covered children, and…
Report Read More Options for Expanding Health Insurance Coverage: Report on a Policy Roundtable
This paper is a summary of a 1999 policy conference, The Kaiser Incremental Health Reform Project, which highlighted both the policy and politics of incrementalism. This paper identifies issues and tradeoffs associated with alternative approaches to expanding health insurance coverage-including enactment and implementation of CHIP and further coverage expansions through…
Report Read More Medicaid and Welfare Reform: States’ Use of the $500 Million Federal Fund
This report reviews how states have responded to the $500 million federal fund that was created by the federal welfare reform legislation in 1996 to help states maintain Medicaid coverage for individuals affected by welfare reform. State Medicaid officials were asked whether they have drawn down federal funds from the…
Report Read More Insurance Market Reforms and the Individual Insurance Marketplace: Implications for Coverage Expansions
Proposals that attempt to expand coverage in the private individual insurance market will only work if private insurance is available and affordable. This paper describes how the current individual marketplace will affect the ability of such proposals to assure equitable access to affordable coverage. This paper is part of the…
Report Read More Public Subsidies and Private Markets: Coverage Expansions in the Current Insurance Environment
Many proposals for incremental expansion of health insurance coverage would provide subsidies for the purchase of nongroup policies. This paper assesses how subsidy options might play out in regulated or unregulated markets and explores the possible trade-off between two distinct policy goals: maximizing the absolute number of families with insurance…
Report Read More Extending Health Insurance Through Tax Credits
Part of the Kaiser Incremental Health Reform Project, this paper describes a generous tax credit approach to the expansion of health insurance coverage. The design features of refundable, publicly-financed tax credits for the purchase of health insurance are described for a range of sample plans.Issue Paper
Report Read More The Kaiser/Harvard Health News Index September/October 1999
Health News Index September/October, 1999 The September/October 1999 edition of the Kaiser Family Foundation/Harvard Health News Index includes questions about major health stories covered in the news, including questions about the uninsured, Patients’ Rights and health care reform proposals by democratic presidential candidates. The survey is based on a national…
Poll Finding Read More Expanding Health Insurance Through Tax Reform
This paper discusses the impacts of the Heritage Foundation proposal for expanding health insurance coverage. Under the proposed tax reform, the employer tax exclusion and all other deductions for health-related expenses would be repealed. A new refundable tax credit would be created for unreimbursed medical expenses. This paper is part…
Report Read More The New Child Health Insurance Program: A Carefully Crafted Compromise
This paper explores the major policy compromises embodied in the CHIP program. It focuses on two areas: the relative control of the federal and state governments over the program, and the design of the program in relation to the private, employer-based health insurance market. This paper is part of the…
Report Read More Incrementalism: Ethical Implications of Policy Choices
This paper discusses ethical issues in incremental approaches to expanding health insurance coverage. Although any reduction in the number of uninsured is morally desirable, there are real moral differences between different policy options. This paper, which is part of the Kaiser Incremental Health Reform Project, examines these moral differences by…
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