Health and the Economy

Isaiah J. Poole's picture

Health Care And The Economy: The "Play-Or-Pay" Mandate

In a conference call with reporters, a team of health care experts discuss two new reports that together explain how an employer health mandate can be shaped so that it does not have the adverse impact on employment predicted by crirics of health care reform. more »


Bill Scher's picture

Business Mandate Good For Business

As the health care debate heats up, it becomes clearer why most politicians flinch from tackling major reforms, and why it's so difficult to engage grassroots citizens to influence policy debates. The clear philosophical debate -- should our government provide a public insurance option? -- quickly splinters into a series of sub-debates. more »

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How to Structure a "Play-or-Pay" Requirement on Employers

Lessons from California for Health Reform

In the hybrid health reform proposals under consideration in Congress—as in California in recent years—employer responsibility generally takes the form of “play-or-pay.” Firms that do not directly provide health care to their employees (or “play”) are required to “pay” into a public pool. This policy brief examines the policy design, economic effects, and political ramifications of employer requirements. more »

Will a "Play or Pay" Policy For Health Care Cause Job Losses?

This report estimates the effects on employment of adopting a "play‐or‐pay" employer contribution for health care. Its main finding: Concerns about significant job losses resulting from such a policy are unfounded. Most likely there will be significant job gains.  more »