Scaling Cost-Sharing to Wages: How Employers Can Reduce Health Spending and Provide Greater Economic Security

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Yale Journal of Health Policy, Law, and Ethics, ISSN: 1535-3532, Vol: 14, Issue: 2, Page: 1

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Robertson, Christopher T.
Health Law and Policy; Law; Legal Ethics and Professional Responsibility
article description
In the employer-sponsored insurance market that covers most Americans; many workers are "underinsured." The evidence shows onerous out-of-pocket payments causing them to forgo needed care, miss work, and fall into bankruptcies and foreclosures. Nonetheless, many higher-paid workers are "overinsured": the evidence shows that in this domain, surplus insurance stimulates spending and price inflation without improving health. Employers can solve these problems together by scaling cost-sharing to wages. This reform would make insurance better protect against risk and guarantee access to care, while maintaining or even reducing insurance premiums.