Health Affairs

Health Affairs, doi: 10.1377/hlthaff.28.3.w431 (Published online March 24, 2009) © 2009 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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Designing Health Insurance Market Constructs For Shared Responsibility: Insights From California

Rick Curtis ^1* Ed Neuschler ²

¹ Rick Curtis is president of the Institute for Health Policy Solutions in Washington, D.C.
² Ed Neuschler is a senior program officer at the Institute for Health Policy Solutions in Washington, D.C.

^*Corresponding author.

Abstract

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. [Health Affairs 28, no. 3 (2009): w431-w445 (published online 24 March 2009; 10.1377/hlthaff.28.3.w431)]

Key Words: Consumer Issues, Health Reform, Insurance Coverage, Legal/Regulatory Issues, State/Local Issues, Health Spending, State/Local Issues - California

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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]