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."
May 4, 2006
State-by-state analysis shows significant percentage of adults in 25 statesdecline to accept employer's coverage offer.
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 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.