This working paper may be of interest to at least some AAHPN members.
Hope you all are having a good summer,
Shirley Johnson-Lans
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"How Do Employers React to a Pay-or-Play Mandate? Early Evidence
from San Francisco"
NBER Working Paper No. w16179
Contact: CARRIE COLLA
<i>affiliation not provided to SSRN</i>
Auth-Page: http://ssrn.com/author=1508141
Co-Author: WILLIAM DOW
University of California, Berkeley - School of
Public Health
Email: [log in to unmask]
Auth-Page: http://ssrn.com/author=675948
Co-Author: ARINDRAJIT DUBE
University of California, Berkeley - Institute for
Research on Labor and Employment
Email: [log in to unmask]
Auth-Page: http://ssrn.com/author=394452
Full Text: http://ssrn.com/abstract=1636648
ABSTRACT: 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.
Using the 2008 Bay Area Employer Health Benefits Survey, we find
that most employers (75%) had to increase health spending to
comply with the law, yet most (64%) are supportive of the law.
There is substantial employer demand for the public option, with
21% of firms using Healthy San Francisco for at least some
employees, yet there is little evidence of firms dropping
existing insurance offerings in the first year after
implementation.
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