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Posted to Web: July 01, 2002

Permanent Link: http://www.urban.org/url.cfm?ID=1000348

We compare three methods that policies seeking to expand health insurance coverage could use to target uninsured people in working families – poverty, hourly wages, and employment in a small firm. We make pair wise comparisons among these, and find that targeting by poverty is most effective and efficient. A poverty-based method is also the most effective way to target those lacking access to employer-sponsored insurance (ESI) and those with low take-up of ESI. When we examine the effectiveness of targeting by family type, we find that marital status and number of workers in the family makes little difference once we control for the presence of children and poverty level. (Health Affairs 2002 July/August; 21(4): 246-254).

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