Rhode Island's HEALTHpact Plan

Lessons for Small-Group Reform

Employer-based health insurance coverage has eroded substantially, especially among small businesses. Until reform of the small-group market has focused primarily on strategies such as modifying insurance market regulations (rate setting rules, guaranteed issue and renewal, etc.) and establishing purchasing pools. This brief looks at an innovative alternative for state-level reform: Rhode Island's HEALTHpact—designed specifically to encourage take-up key lessons for future iterations of small-group reform, both in Rhode Island and other states.