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The Henry J. Kaiser Family Foundation

Options for Expanding Health Insurance Coverage: Report on a Policy Roundtable

This paper is a summary of a 1999 policy conference, The Kaiser Incremental Health Reform Project, which highlighted both the policy and politics of incrementalism. This paper identifies issues and tradeoffs associated with alternative approaches to expanding health insurance coverage-including enactment and implementation of CHIP and further coverage expansions through…

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The Henry J. Kaiser Family Foundation

The Difference Different Approaches Make: Comparing Proposals to Expand Health Insurance

The Difference Different Approaches Make: Comparing Proposals to Expand Health InsuranceThis paper estimates and compares the impacts of alternative mechanisms for expanding health insurance coverage. A variety of approaches-expansions of existing public programs, direct subsidies, and tax credits-and target populations-including children, poor adults, parents of Medicaid- or CHIP-covered children, and…

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The Henry J. Kaiser Family Foundation

Medicaid and Welfare Reform: States’ Use of the $500 Million Federal Fund

This report reviews how states have responded to the $500 million federal fund that was created by the federal welfare reform legislation in 1996 to help states maintain Medicaid coverage for individuals affected by welfare reform. State Medicaid officials were asked whether they have drawn down federal funds from the…

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The Henry J. Kaiser Family Foundation

An Assessment of Strategies for Expanding Health Insurance Coverage

This paper provides a conceptual analysis of alternative mechanisms (tax credits, public programs, and direct subsidies) for expanding health insurance coverage. The paper, which is part of the Kaiser Incremental Health Reform Project, discusses the likely impacts alternative approaches on a variety of outcomes including efficiency in increasing coverage and…

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The Henry J. Kaiser Family Foundation

Extending Health Insurance Through Tax Credits

Part of the Kaiser Incremental Health Reform Project, this paper describes a generous tax credit approach to the expansion of health insurance coverage. The design features of refundable, publicly-financed tax credits for the purchase of health insurance are described for a range of sample plans.Issue Paper

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The Henry J. Kaiser Family Foundation

Expanding Health Insurance Through Tax Reform

This paper discusses the impacts of the Heritage Foundation proposal for expanding health insurance coverage. Under the proposed tax reform, the employer tax exclusion and all other deductions for health-related expenses would be repealed. A new refundable tax credit would be created for unreimbursed medical expenses. This paper is part…

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The Henry J. Kaiser Family Foundation

The New Child Health Insurance Program: A Carefully Crafted Compromise

This paper explores the major policy compromises embodied in the CHIP program. It focuses on two areas: the relative control of the federal and state governments over the program, and the design of the program in relation to the private, employer-based health insurance market. This paper is part of the…

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The Henry J. Kaiser Family Foundation

Public Subsidies and Private Markets: Coverage Expansions in the Current Insurance Environment

Many proposals for incremental expansion of health insurance coverage would provide subsidies for the purchase of nongroup policies. This paper assesses how subsidy options might play out in regulated or unregulated markets and explores the possible trade-off between two distinct policy goals: maximizing the absolute number of families with insurance…

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The Henry J. Kaiser Family Foundation

Incrementalism: Ethical Implications of Policy Choices

This paper discusses ethical issues in incremental approaches to expanding health insurance coverage. Although any reduction in the number of uninsured is morally desirable, there are real moral differences between different policy options. This paper, which is part of the Kaiser Incremental Health Reform Project, examines these moral differences by…

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The Henry J. Kaiser Family Foundation

Retiree Health Coverage: Recent Trends and Employer Perspectives on Future Benefits

The report, based on an analysis of Hewitt Associates' client database, presents new trend data on the prevalence of retiree health coverage sponsored by large employers and finds a continued erosion of retiree health benefits. The report also includes findings from a new survey assessing how large employers might change…

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