Health Affairs

Health Affairs, 25, no. 3 (2006): 774-782 doi: 10.1377/hlthaff.25.3.774 © 2006 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

This Article Full Text (HTML) Reprint (PDF) Methodological Appendix Submit a response to this article Alert me when this article is cited Alert me when Comments are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Reschovsky, J. D. Articles by Ginsburg, P. Search for Related Content PubMed PubMed Citation Articles by Reschovsky, J. D. Articles by Ginsburg, P. Related Collections Access To Care Health Reform Insurance Coverage Insurance - Employer-Based System Business Of Health Health Spending Consumer Issues Insurance Market

Health Tracking

TRENDS

Why Employer-Sponsored Insurance Coverage Changed, 1997–2003

James D. Reschovsky, Bradley C. Strunk and Paul Ginsburg

Four and a half million Americans gained employer-sponsored health insurance coverage during 1997–2001, while nearly nine million lost coverage in the ensuing economic downturn (2001–2003), after population growth was accounted for. Macroeconomic trends affecting employment, job quality, and incomes drove most of the coverage changes, although key factors varied during the two periods. Take-up rates affected coverage, mostly reflecting the interaction of premium cost trends and labor-market tightness, but take-up also was influenced by the implementation of the State Children’s Health Insurance Program (SCHIP) during 1997–2001. Coverage among low-income people was most affected by economic conditions and premium costs.

                      What's this?

This article has been cited by other articles:

				T. M. Selden The Impact of Increased Tax Subsidies on the Insurance Coverage of Self-Employed Families: Evidence from the 1996-2004 Medical Expenditure Panel Survey J. Human Resources, January 1, 2009; 44(1): 115 - 139. [Abstract] [PDF]

				P. S. Keenan, D. M. Cutler, and M. Chernew The 'Graying' Of Group Health Insurance Health Aff., November 1, 2006; 25(6): 1497 - 1506. [Abstract] [Full Text] [PDF]