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Employer Responsibility in Health Care Reform: Potential Effects on Low- and Moderate-Income Workers


  • Shawn Fremstad


Leading health care reform proposals all require individuals to obtain health care coverage, but differ in how they would require employers to share in the costs of coverage for their employees. This report reviews the employer responsibility requirements in the leading proposals—often referred to as “play-or-pay” provisions—and makes recommendations on how to best structure such a requirement to ensure that relatively low paid workers are not negatively impacted by them.

Suggested Citation

  • Shawn Fremstad, 2009. "Employer Responsibility in Health Care Reform: Potential Effects on Low- and Moderate-Income Workers," CEPR Reports and Issue Briefs 2009-33, Center for Economic and Policy Research (CEPR).
  • Handle: RePEc:epo:papers:2009-33

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    Cited by:

    1. Groce, Nora. & Loeb, Marie. & Murray, Barbara., 2014. "The disabled beggar literature review: begging as an overlooked issue of disability and poverty," ILO Working Papers 994861433402676, International Labour Organization.
    2. repec:ilo:ilowps:486143 is not listed on IDEAS
    3. Groce, Nora. & Murray, Barbara. & Loeb, Marie. & Tramontano, Carlo. & Trani, Jean Francois. & ʼAsfāw Makonen., 2013. "Disabled beggars in Addis Ababa, Ethiopia," ILO Working Papers 994806913402676, International Labour Organization.
    4. repec:ilo:ilowps:480691 is not listed on IDEAS

    More about this item


    health care;

    JEL classification:

    • I - Health, Education, and Welfare
    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I3 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • H - Public Economics
    • H2 - Public Economics - - Taxation, Subsidies, and Revenue
    • H5 - Public Economics - - National Government Expenditures and Related Policies
    • D - Microeconomics
    • D6 - Microeconomics - - Welfare Economics

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