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TRENDSShifting Health Insurance Coverage, 19971999
The forces that affect private and public health insurance coverage have been shifting over the past several years. During the 1990s unprecedented economic expansion brought increased employment and higher incomes, which should have raised access to job-based coverage.1 Nevertheless, evidence on how employer offer rates have been changing is mixed.2 There is consistent evidence, however, that employee take-up rates have been falling, and the costs of coverage may be changing differently for different types of coverage.3
Public health insurance programs also have been in transition. Federal welfare reform may have had the unintended side effect of reducing Medicaid participation among
Categorization.NSAF versus CPS.Population groups.
Levels of and changes in insurance coverage.
Race and ethnicity.Health status.Parents and nonparents.
States with uninsurance declines.
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