Universal access to health care: a comprehensive tax-based approach

Article Abstract:

A proposal for better health care is presented that would allow all Americans to purchase good basic care in a cost-conscious manner. The program builds in universal coverage and incentives to control costs. The principles underlying the proposal include that no one should be denied access to necessary care because of finances; that consumers should be able to buy health care coverage for themselves; and that incentives are preferable to controls where access, cost control, and quality are concerned. The strategy involves the following points: (1) consumers would receive universal, refundable tax credits for buying health insurance; (2) employers would be required to offer group insurance to employees; (3) risk would be spread over large groups and the unemployed would receive group coverage; (4) insurance carriers would be protected from inordinately high risks; (5) all consumers would be required to purchase basic health coverage; and (6) the quality of care would be continuously evaluated and improved. These points are explained and discussed in detail. The tax credit would equal 100 percent of the basic health care insurance premium for the poorest families, and smaller proportions of the premium at higher income levels. The tax credit would be funded from four sources: Medicaid funds; higher tax revenues from businesses, which would make more profits after their contributions to health care decreased; government savings, since the government would no longer have to buy health coverage for employees; and taxes on the remaining employer contributions to health insurance premiums. Other sources of funds are described. With between 63 percent and 81 percent of the program's cost internally financed, a funding shortfall of $16 billion to $44 billion can be anticipated. This is a manageable amount. While the proposed program is complex, any changes in the US health care system must be evaluated in the context of trade-offs. This plan is based on a private-sector orientation, which is likely to be more popular in the US than a public insurance program. (Consumer Summary produced by Reliance Medical Information, Inc.)

Medical economics, Study and teaching, Cost shifting (Medical care), Tax benefit rule

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Warning on private hospital network plans

Article Abstract:

Cheap private medical insurance for employees could ultimately end up costing companies and insurance firms millions of pounds sterling in compensation cases if US-style litigation is embraced in the UK. The flaw in cheap medical insurance is highlighted by research firm William M. Mercer which also points to the growing trend of medical insurance firms opting for cheaper treatments after doctors have recommended more effectively but costly ones.

Research, Health insurance industry

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"Fed" Issues PSO Solvency Standards

Article Abstract:

Provider-sponsored organizations (PSOs) are now required under the Health Care Financing Administration (HCFA) to serve Medicare beneficiaries and assume appropriate financial risk. New standards for solvency, net worth, countable assets, and other financial criteria have been established. PSOs must provide HCFA with a financial plan for its first year of operation.

Medicare, United States. Centers for Medicare and Medicaid Services

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