Health Affairs, 28, no. 3 (2009): w431-w445 (Published online 24 March 2009) doi: 10.1377/hlthaff.28.3.w431 © 2009 by Project HOPE	New Online   House Health Reform Bill   Paying for Reform   Vetting AHIP's Report   HIV/AIDS Costs   Brief: Insurance Reform   HA Blog Top 10

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Designing Health Insurance Market Constructs For Shared Responsibility: Insights From California

Moving toward universal participation in health insurance using a "shared responsibility" approach requires new, more accessible, and more efficient ways for people who are not offered employer coverage to obtain coverage. California’s recent health reform plan—which failed to pass—incorporated individual market reform and choice-pool constructs to achieve critically important risk spreading, assure solvency, and reduce cost shifts. These measures, as well as the considerations that led to their design, offer important insights for health reform at the federal level.

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This article has been cited by other articles:

				R. Curtis and E. Neuschler Affording Shared Responsibility For Universal Coverage: Insights From California Health Aff., May 1, 2009; 28(3): w417 - w430. [Abstract] [Full Text] [PDF]

				M. R. Mulkey and M. D. Smith The Long And Winding Road: Reflections On California's 'Year Of Health Reform' Health Aff., May 1, 2009; 28(3): w446 - w456. [Abstract] [Full Text] [PDF]