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San Francisco's Pay Or Play Employer Mandate Expanded Private Coverage By Local Firms And A Public Care Program

January 7, 2013 | Journal Article

In 2008 San Francisco implemented a pay-or-play employer mandate requiring city firms to provide health insurance coverage to employees. Their experience shows that such a mandate is feasible, increases access, and is acceptable to many employers.

Health Tracking

March 19, 2012 | Program Result Report

Center for Studying Health System Change researchers tracked changes in the nation's health care system and developed policy analyses describing how those changes affect patients, providers, and others in their communities.

Does Decreased Access to Emergency Departments Affect Patient Outcomes?

February 23, 2012 | Journal Article

By measuring increased driving time to the nearest emergency department (ED), this study examines ED access and adverse patient outcomes or changes in patient health profiles. Using acute myocardial infarction (AMI) patients, the study looks at whet ...

A Long and Winding Road

November 1, 2011 | Issue Brief

Federally qualified health centers, community variation and prospects under reform.

Employer-Sponsored Health Insurance

October 1, 2011 | Issue Brief

The great recession and passage of national health reform are together altering the calculus of employer approaches to offering health benefits, according to recent findings from the Center for Studying Health System Change's (HSC) visits to 12 nationally representative metropolitan communities.

Rising Closures of Hospital Trauma Centers Disproportionately Burden Vulnerable Populations

October 1, 2011 | Journal Article

Closures of hospital trauma centers have accelerated since 2001 and may disproportionately affect disadvantaged communities.

State Reform Dominates Boston Health Care Market Dynamics

September 1, 2011 | Report

Study examines how Massachusetts' 2006 health reform law has affected the health care arena in Boston.

The Labor Market Impact of Employer Health Benefit Mandates

July 6, 2011 | Issue Brief

In this paper, researchers address this question using a pay-or-play policy implemented in San Francisco in 2008 that requires employers to either provide health benefits or contribute to a public option health plan.

Association Between Ambulance Diversion and Survival Among Patients with Acute Myocardial Infarction

June 15, 2011 | Journal Article

Patients with time-sensitive conditions are adversely affected when the nearest emergency department is temporarily not available.

Factors Associated with Closures of Emergency Departments in the United States

May 18, 2011 | Journal Article

This nationwide study analyzed market and hospital characteristics associated with the closure of emergency departments from 1990 to 2009. Emergency departments in safety-net and for-profit hospitals were less likely to remain open.

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