|
|
|
|
|
|
|
|
|
Analysis of the Costs and Impact of Universal Health Care
|
Models for the State of Maryland:
|
The Single-Payer and Multi-Payer Models
|
|
John F. Sheils and Randall A. Haught
|
|
The Lewin Group, Inc.
|
|
Funded by:
|
|
The Aaron Straus and Lillie Straus Foundation, Inc.
|
The Jacob and Hilda Blaustein Foundation, Inc.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
A.Benefits
Package
|
B.Managed
Care
|
C.Program
Administration
|
D.Health
Spending Budgets
|
E.Financing
|
F.Marylanders
Employed Out-of-State
|
|
|
|
|
|
|
A.The
Health Benefits Simulation Model
|
B.Projections
Through 2001
|
|
|
|
|
|
A.Changes
in Health Spending
|
1.Health
Services Utilization
|
2.Administrative
Costs
|
3.Changes
in Provider Payment
|
B.Health
Spending by Major Payers for Care
|
C.Health
Spending in Future Years
|
|
|
|
|
|
|
A.State
Program Expenditures
|
1.Program
Expenditures
|
2.Inter-Governmental
Transfer Revenues
|
3.Tax
Revenues
|
B.Federal
Health Spending in Maryland
|
|
|
|
|
|
|
A.Impact
on Total Private Employer Spending
|
B.Impact
on Employer Health Spending by Size of Firm and Industry
|
C.Wage
Effects
|
|
|
|
|
|
A.Impact
on Total Household Health Spending
|
B.Impact
on Average Household Health Spending
|
C.Distributional
Impacts
|
D.Impact
on Households by Current Insurance Status
|
|
|
|
|
|
|
A.The
Multi-Payer Opt-Out
|
1.Calculating
the Payroll Tax for Employers that Opt-Out
|
2.Potential
Gaming By Employers
|
3.Assumptions
|
B.Impact
on State Health Spending
|
1.Expenditures
by Payer Group
|
2.Employer
Health Spending
|
3.Impact
on Family Health Spending
|
|
|
|
|
|
|
|
|
|
|
|
|