RESUMO
The Federal Employees Health Benefits Program (FEHBP) can serve as a vehicle to extend access to private health insurance to nonfederal workers. Opening up the FEHBP may also be a politically feasible incremental change because it potentially appeals to those at both ends of the political spectrum. Each of the various ways of enabling nonfederal workers to participate in the FEHBP has its pros and cons. This paper looks at using the FEHBP as a voluntary buy-in opportunity to help those who lack health insurance--without displacing or disrupting existing sources of health coverage or creating an expensive federal program.
Assuntos
Governo , Planos de Assistência de Saúde para Empregados , Reforma dos Serviços de Saúde , Custos e Análise de Custo , Planos de Assistência de Saúde para Empregados/economia , Estados UnidosRESUMO
Large employers are not the enemy of health reform some make them out to be. But they are worried about how to comply with the proliferation of newly enacted state reform laws and what impact a federal health reform law is likely to have.
Assuntos
Planos de Assistência de Saúde para Empregados/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Planos Governamentais de Saúde/legislação & jurisprudência , Coleta de Dados , Planos de Assistência de Saúde para Empregados/estatística & dados numéricos , Reforma dos Serviços de Saúde/estatística & dados numéricos , Indústrias/legislação & jurisprudência , Indústrias/estatística & dados numéricos , Planos Governamentais de Saúde/estatística & dados numéricos , Estados UnidosRESUMO
As difficult and controversial as it is to pass an employer mandate, implementation will be even harder. Business reactions will not be monolithic, but diverse and complicated, often diametrically opposed. Reactions also will vary dramatically with the actual design of the provision in question, for which there are many alternatives. "What exists out there now" has overt and subtle variations from employer to employer, from region to region, and from sector to sector. If an employer obligation were designed to be more respectful and reflective of that diversity, the odds of gaining greater acceptance and successful implementation by business would improve.
Assuntos
Atitude Frente a Saúde , Comércio/economia , Planos de Assistência de Saúde para Empregados/legislação & jurisprudência , Reforma dos Serviços de Saúde/legislação & jurisprudência , Custos de Saúde para o Empregador , Reforma dos Serviços de Saúde/economia , Humanos , Política , Responsabilidade Social , Estados UnidosRESUMO
Legislation drafted in Switzerland in 1975--77 aims at countering the effects of inflation and recession by bringing increased revenues into the system, reducing expenditures, devising a mechanism to adjust pensions automatically, and improving income maintenance for the unemployed. The proposed legislation to place the social security system on a sound financial basis now needs voter approval in a referendum. Swiss voters meanwhile rejected (in mid-1977) a government-proposed value-added tax designed to finance increasing government contributions during 1978-82. Still to be resolved, therefore, is the problem of how the government will finance higher contributions and still achieve its staged goal of a balanced budget.