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Posting date: May 28, 2003 Copyright © 2003 by Project HOPE
Employment-Based Health Insurance Is Failing: Now What?
1 Alan Enthoven is the Marriner S. Eccles Professor of Public and Private Management, Emeritus at the Stanford University Graduate School of Business in Stanford, California.
*Corresponding author.
Employer-based health insurance is failing. Costs are out of control. Employers have no effective strategy to deal with this. They must think strategically about fundamental change. This analysis explains how employers' purchasing policies contribute to rising costs and block growth of economical care. Single-source managed care is ineffective, and effective managed care cannot be a single source. Employers should create exchanges through which they can offer employees wide, responsible, individual, multiple choices among health care delivery systems and create serious competition based on value for money. Recently introduced technology can assist this process. Key Words: Access To Care, Insurance--Employer-Based System, Managed Competition, Health Spending
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