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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.
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.
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.
July 1, 2010 | Report
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 1, 2001 | Program Result
From 1993 to 1997, the Pacific Business Group on Health, San Francisco, tested the predictive power and practical application of several risk-assessment tools used by large employers that offer their employees a choice of two or more health plans.
January 1, 2001 | Program Result
In 1995 and 1996, the California Managed Risk Medical Insurance Board, Sacramento, Calif., developed a risk-adjustment mechanism that was applied to small employer group health insurance purchasers in the Health Insurance Plan of California (HIPC), the first statewide health insurance purchasing cooperative for small employers (three to 50 employees).
December 20, 2001 | Program Result
The Institute for Health Policy Studies (IHPS) of the University of California, San Francisco, disseminated a May 1997 institute report entitled Troubling Signs: Severely Ill Children in Employment-Based Managed Care Plans in California.