Project Categories

Explaining the Limited Size of the Private Long-Term Care Insurance Market: The Effect of Public Insurance and Tax Policy

Award Year: 2003 Investigator: Jeffrey Brown, Amy Finkelstein
This Investigator Award project, Explaining the Limited Size of the Private Long-Term Care Insurance Market, tests economic theories to understand why most people choose not to purchase long-term care insurance, instead paying for care out of pocket. Drs. Brown and Finkelstein explore how the pricing of insurance policies and the availability of Medicaid coverage for those who are eligible influence decisions on whether to purchase long-term care insurance.

National Health Insurance and American Exceptionalism: A Comparative Historical Analysis

Award Year: 1999 Investigator: Jill Quadagno
The lack of national health insurance is the most distinctive feature of America's welfare state, the prime example of a larger historic issue known as American Exceptionalism. Three presidents (Truman, Nixon, and Clinton) championed universal access to health care but failed to win congressional approval of their proposals. Yet, Medicare and Medicaid, which provide benefits for limited constituencies, were enacted. Using the comparative method, Dr.

From Targeting to Universalism? The Limits and Possibilities of Institutional Change in the Medicaid Program

Award Year: 1997 Investigator: Colleen Grogan
Significant social policy debate focuses on why the U.S. never achieved guaranteed health insurance for all citizens and whether universal or targeted programs are the answer. The typical American approach is to enact targeted programs and then focus on incremental expansions. Thus the crucial policy question is whether targeted programs can transform themselves into programs with universal characteristics. Dr.

How Well Does Employment-Based Health Insurance Pool Risk?

Award Year: 1995 Investigator: Mark Pauly
Private employment-based insurance pools some of the risk of high medical care expenses across individuals. How well it achieves protection against risk is not well known, but belief that pooling is imperfect especially for employment-based coverage furnished by small groups supports many actual and proposed insurance regulations, reforms, tax advantages, and explicit subsidies. Dr.

The Employer-Based Health Insurance System

Award Year: 1995 Investigator: Sherry Glied
Within the framework of health policy and U.S. labor market changes, Dr. Glied takes a close look at employer-based health insurance, its strengths and weaknesses. She examines: how employer-based insurance systems operate and perform in response to changes in the health care market; increasing differentiation among health plans; an apparent reduction in the number of long-term jobs; and the shifting demographic composition of the U.S. labor force.