Analysis of employment-based health insurance trends

The Foundation's Health Tracking initiative was designed to support efforts to understand better health system changes and how these changes affect people.Under the Foundation's Health Tracking initiative, the Center for Studying Health System Change, through its Community Tracking Study, is understanding how dramatic changes in health care are unfolding in 60 communities throughout the U.S. The first round of the study, which included surveys of 32,000 households and 13,000 physicians, was conducted in 1996-97 and produced baseline information for tracking change. The next round of surveys will be fielded in 1998-99, providing the first chance to really measure and monitor changes over time. Along with the second round of the Community Tracking Study, funds will support a variety of other Center efforts to track, understand, and disseminate information about the dynamics of health system change, including work to examine trends in employment-based health insurance. Through this project under the Foundation's Health Tracking initiative, the researchers will analyze and disseminate information collected from over 22,000 employers as part of the baseline of the Community Tracking Study. Analyses completed thus far have centered on choice and use of managed competition, instability among employers offering health insurance, and variation in premium changes across communities. Over the course of the next year, the researchers will complement tracking data with federally collected information to form a rich base for understanding trends over time in employer-offered rates and purchasing strategies. Other areas of analysis include self-insured employers, employer contributions for health insurance, and benefits in insurance packages.

Grant Details

Amount Awarded $399,995.00

Awarded on: 5/26/1998

Time frame: 6/1/1998 - 12/31/1999

Grant Number: 31565


Rand Corporation

1776 Main Street
P.O. Box 2138
Santa Monica, 90401-2138


Stephen H. Long
Project Director


M. Susan Marquis
Project Director