January 7, 2013
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.
January 1, 2001
Program Results Report
In 1997, the Washington Health Care Authority (HCA) implemented a health-status-based risk-adjusted payment system.
March 17, 2010
In looking back, Monheit says: "I was senior in my field when I came to the program, but it did get me thinking about other areas. I am now more interested in issues related to socioeconomic status and health than I was."
July 1, 2004
Individuals who lose their jobs may also lose their health insurance and those who would prefer a different job may not change in order to keep health insurance coverage.
May 4, 2006
State-by-state analysis shows significant percentage of adults in 25 statesdecline to accept employer's coverage offer.
May 1, 2012
Enrollment is increasing in consumer-directed health insurance plans, which feature high deductibles and a personal health care savings account.
October 1, 2011
Making judgments about how much a person could pay for health insurance is difficult?even for an expert panel member.
July 6, 2011
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.
July 1, 2010
In 2006, San Francisco adopted major health reform, becoming the first city to implement a pay-or-play employer health spending mandate. It also created Healthy San Francisco, a "public option" to promote affordable universal access to care.
January 14, 2010
"Play-or-pay" presents employers with a choice: purchase health insurance policies for their workers or pay a penalty, in the form of a payroll tax. This practice perspective argues that "play-or-pay" rules will create an unfair distribution of health insurance subsidies.