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The Impact of States' Small Group Health Insurance Reforms on Uninsurance Rates

The impact of states' small group market reforms on uninsurance rates was examined. Reform status was quantified on five reform dimensions: Access Improvement, Premium Differential Reduction, Continuity of Coverage, and Enhancing Valued Plan Features. These reform indices were calculated based...

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Bibliographic Details
Published in:Journal of health & social policy 2005, Vol.20 (3), p.11-50
Main Authors: Xirasagar, Sudha, Stoskopf, Carleen H., Hussey, James R., Samuels, Michael E., Shrader, William R., Saunders, Ruth P.
Format: Article
Language:English
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Summary:The impact of states' small group market reforms on uninsurance rates was examined. Reform status was quantified on five reform dimensions: Access Improvement, Premium Differential Reduction, Continuity of Coverage, and Enhancing Valued Plan Features. These reform indices were calculated based on actuarial judgment of the market impact potential of each regulation. Regression analysis showed no association between uninsurance rates and the depth of reforms on any dimension, while controlling for income, foreign-born population, black population, and employment in the smallest businesses. Possible reasons for the lack of impact are discussed.
ISSN:0897-7186
1540-4064
DOI:10.1300/J045v20n03_02