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Working and Living in the Shadow of Economic Fragility$
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Marion Crain and Michael Sherraden

Print publication date: 2014

Print ISBN-13: 9780199988488

Published to Oxford Scholarship Online: December 2014

DOI: 10.1093/acprof:oso/9780199988488.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 25 January 2021

How Will Employers Respond to National Health Reform?

How Will Employers Respond to National Health Reform?

Lessons from the 2006 Reform Initiative in Massachusetts

(p.82) 5 How Will Employers Respond to National Health Reform?
Working and Living in the Shadow of Economic Fragility

Sharon K. Long

Karen Stockley

Heather Dahlen

Ariel Fogel

Oxford University Press

The 2010 Patient Protection and Affordable Care Act (ACA) is introducing extensive changes to the US health care system, including new requirements around the provision of health insurance coverage for employers. There is much debate as to how employers will respond to those new requirements, with estimates of the likely impacts on employer-sponsored coverage varying widely. This chapter capitalizes on the real-world experience under health reform in Massachusetts, the template for the ACA, to examine how employers responded to that state’s 2006 health-reform initiative. Although details of the employer requirements in the national legislation differ somewhat from those in the Massachusetts law, the broad tenets of the two initiatives are similar and so the response by employers in Massachusetts provides objective evidence of the potential response by employers to the national legislation.

Keywords:   Commonwealth Health Insurance Connector, cost, health insurance exchange, health reform, Massachusetts Health Reform Survey, Medicaid, poverty, tax credits

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