Cover: Health Care Costs

Health Care Costs

The Consequences of Increased Cost Sharing

Published 1982

by Charles E. Phelps


Download eBook for Free

FormatFile SizeNotes
PDF file 2 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.


Purchase Print Copy

 Format Price
Add to Cart Paperback57 pages $20.00

This report analyzes the possible distributional consequences of several government policies for controlling health care costs. Drawing on the results of RAND's Health Insurance Study, it evaluates the potential savings from policies designed to increase cost sharing — deductibles and copayments — in both government and employer financed health insurance programs. It then examines how the cost of realizing these savings is distributed among major actors in the health care system — patients, doctors, hospitals, suppliers, insurers, and state and federal governments. The study assesses consequences of specific proposals to increase income taxation of employer financed insurance programs and to increase copayments in Medicaid.

This report is part of the RAND report series. The report was a product of RAND from 1948 to 1993 that represented the principal publication documenting and transmitting RAND's major research findings and final research.

This research in the public interest was supported by RAND, using discretionary funds made possible by the generosity of RAND's donors, the fees earned on client-funded research, and independent research and development (IR&D) funds provided by the Department of Defense.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.