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As the U.S. Supreme Court considers the constitutionality of the Affordable Care Act's (ACA) individual mandate, one of the questions being debated is what effect the mandate would have on employer-sponsored health insurance coverage. A factor to consider in this is the effect the ACA would have on small businesses, which employ the majority of America's private-sector workforce.
JOURNAL ARTICLE
Rising health costs reduce employment-based private insurance availability and enrollment, and the financial protection provided by it, especially for middle-class families.
JOURNAL ARTICLE
The CHIP expansions to children in higher income families were associated with limited uptake of public coverage.
RESEARCH BRIEF
Finds that the Affordable Care Act will increase the percentage of employers that offer health coverage to workers: from 57 percent to 80 percent for firms with 50 or fewer workers, and from 90 percent to 98 percent for firms with 51 to 100 workers.
REPORT
The Affordable Care Act builds on the employer-based health insurance system by developing exchanges through which small employers can offer coverage and by penalizing large employers that do not offer coverage. The exchanges could alleviate some of the difficulties faced by small firms that want to offer insurance.
JOURNAL ARTICLE
The nature of employer-sponsored coverage may change substantially after implementation of the Patient Protection and Affordable Care Act, with an increase in the number of workers offered coverage through the health insurance exchanges.
REPORT
This document explores how increased use of bundled payment approaches would affect health system performance along nine dimensions.
REPORT
This document explores how requiring employers to offer health insurance (an employer mandate) would affect health system performance along nine dimensions.
REPORT
This document explores how requiring individuals to obtain health insurance (an individual mandate) would affect health system performance along nine dimensions.
REPORT
This document explores how expanding Medicaid/SCHIP eligibility would affect health system performance along nine dimensions.
REPORT
This document explores how a refundable tax credit to offset the cost of health insurance premiums would affect health system performance along nine dimensions.
JOURNAL ARTICLE
Cost savings can be achieved while improving health care quality by speeding payment reforms, implementing insurance reforms, and reforming coverage.
REPORT
This document explores how increased health information technology (HIT) adoption and connectivity would affect health system performance along nine dimensions.
JOURNAL ARTICLE
Modest subsidies will have small effects on purchase in the nongroup market.
JOURNAL ARTICLE
To learn whether consumer reports of health plan quality can affect health plan selection.
JOURNAL ARTICLE
This article is based on employee responses to surveys augmented with information from personnel files, and assessed that degree to which employees favor preferred providers and whether the preferred provider organizations (PPO) participants are a narrow, specialized segment or a broad cross section of covered employees.
PEOPLE
Assistant Policy Analyst
Ph.D. candidate, Pardee RAND Graduate School; B.A. in public policy, administration, and analysis, New College of Florida
PEOPLE
Director, Economics, Finance, and Organization Program, RAND Health; Senior Economist
Ph.D. and M.A. in economics, Brown University; B.A. in economics, Loyola College of Maryland
PEOPLE
Associate Policy Researcher; Professor, Pardee RAND Graduate School
Ph.D. in health services research and policy, University of Rochester; M.S. in social medicine and health management, Fudan University; B.Med. (medical degree), Shanghai Medical University
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