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State Health Insurance Mandates, Consumer Directed Health Plans and Health Savings Accounts: Are They a Panacea for Small Businesses?

Susan M. Gates
RAND Corporation

Kanika Kapur
University College Dublin (UCD) - Department of Economics

Pinar Karaca-Mandic
RAND Corporation


August 2007

RAND Working Paper No. WR-450-ICJ

Abstract:     
Small firms in the United States that seek to offer health insurance to their employees have historically reported problems with the availability and affordability of their options. The cost of health insurance has been the primary concern of small business owners for several decades. This paper examines the effect to date of two types of policy initiatives that could have substantial benefits for small business: state health insurance mandates and key components of CDHPs-HSAs, HRAs and high deductible health plans. It summarizes the key policy issues, reviews existing research evidence on the effect of these initiatives on small business and offer some conclusions for policymakers.

Keywords: health insurance, consumer-directed health plans, small business

JEL Classifications: H51, I11

Working Paper Series

Date posted: September 06, 2007 ; Last revised: September 30, 2009

Suggested Citation

Gates, Susan M., Kapur, Kanika and Karaca-Mandic, Pinar, State Health Insurance Mandates, Consumer Directed Health Plans and Health Savings Accounts: Are They a Panacea for Small Businesses? (August 2007). RAND Working Paper No. WR-450-ICJ. Available at SSRN: http://ssrn.com/abstract=1012463


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Contact Information

Susan M. Gates (Contact Author)
RAND Corporation ( email )
1700 Main Street
P.O. Box 2138
Santa Monica, CA 90407-2138
United States
Kanika Kapur
University College Dublin (UCD) - Department of Economics ( email )
Newman Building (Room G215)
Belfield, Dublin 4 Ireland
Pinar Karaca-Mandic
RAND Corporation ( email )
1776 Main Street
Santa Monica, CA 90407
United States
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