Sliding Scale Premium Health Insurance Programs
Four States? Experiences
Document date: January 01, 2000
Released online: January 01, 2000
As publicly funded health insurance programs shift more toward coverage of working families in low and moderate incomes, there has been a growing interest in beneficiary cost sharing in the form of sliding-scale premiums. In this study we examined four publicly-sponsored health insurance programs aimed at working-class families--Hawaii’s QUEST, Minnesota’s MNCare, Tennessee’s TennCare, and Washington’s BHP. The experience in these states indicates that it is feasible to require cost sharing of premiums, but there are a number of design and operational complexities. A preliminary analysis indicates that higher out-of-pocket premium shares were associated with lower participation rates.(Inquiry Winter 1999/2000; 36(4):471-480).
Other Publications by the Authors
Usage and reprints: Most publications may be downloaded free of charge from the web site and may be used and copies made for research, academic, policy or other non-commercial purposes. Proper attribution is required. Posting UI research papers on other websites is permitted subject to prior approval from the Urban Institute—contact firstname.lastname@example.org.
If you are unable to access or print the PDF document please contact us or call the Publications Office at (202) 261-5687.
Disclaimer: The nonpartisan Urban Institute publishes studies, reports, and books on timely topics worthy of public consideration. The views expressed are those of the authors and should not be attributed to the Urban Institute, its trustees, or its funders. Copyright of the written materials contained within the Urban Institute website is owned or controlled by the Urban Institute.