Health Affairs, 27, no. 3 (2008): 646-657 doi: 10.1377/hlthaff.27.3.646 © 2008 by Project HOPE	New Online   Senate Health Reform Bill   Rewarding Providers   Public Option Policy Brief   Health Reform & Abortion   Delivery System Reform

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Formulas For Compromise

Building Blocks For Reform: Achieving Universal Coverage With Private And Public Group Health Insurance

This paper presents a framework for universal health insurance that builds on the current U.S. mixed private-public system by expanding group coverage through private markets and publicly sponsored insurance. This Building Blocks approach includes a new national insurance "connector" that offers small businesses and individuals a structured choice of a Medicare-like public option and private plans. Other features include an individual mandate, required employer contributions, Medicaid/State Children’s Health Insurance Program (SCHIP) expansion, and tax credits to assure affordability. The paper estimates coverage and costs, and assesses the approach. Our findings indicate that the framework could reach near-universal coverage with little net increase in national health spending.

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  Formulas For Compromise
  Health Affairs, May/June 2008; 27(3): 645
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