Health Affairs

Health Affairs, 26, no. 4 (2007): w463-w473 (Published online 4 June 2007) doi: 10.1377/hlthaff.26.4.w463 © 2007 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

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Setting A Standard Of Affordability For Health Insurance Coverage

Linda J. Blumberg, John Holahan, Jack Hadley and Katharine Nordahl

Recently, Massachusetts passed landmark legislation designed to expand health insurance coverage. This legislation includes a requirement that all adults enroll in a health insurance plan. This mandate takes effect only if an "affordable" plan is available. The definition of affordability for individuals and families of different incomes or circumstances is a critical decision in implementation and is relevant to any state or federal reform requiring individual premium or cost-sharing contributions, or both. This analysis was done to assist the policy design process in Massachusetts and delineates an empirically based approach to setting affordability standards.

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