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Comparing the options for universal coverage

E G Grossman1

  • 1Office of the Legislative Counsel, U.S. House of Representatives.

Health Affairs (Project Hope)
|January 1, 1994
PubMed
Summary
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This study evaluates eight legislative policy options for achieving universal health coverage. It examines coverage definitions, benefit structures, and legal incentives for employers and individuals to ensure compliance and financing.

Area of Science:

  • Health Policy
  • Public Health Law
  • Healthcare Economics

Background:

  • Achieving universal health coverage is a global priority.
  • Existing legislative frameworks present challenges in ensuring equitable access to healthcare.
  • Policy analysis is crucial for designing effective universal coverage strategies.

Purpose of the Study:

  • To identify and systematically evaluate legislative policy options for universal health coverage.
  • To analyze key issues in defining coverage scope, benefit levels, and financing mechanisms.
  • To assess the role of employer and individual mandates and governmental compliance strategies.

Main Methods:

  • Systematic review of eight legislative policy options.
  • Analysis of three core components: coverage definition, benefit design, and incentive structures.

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  • Focus on legal obligations for employers and individuals, and governmental promotion of compliance.

    • Main Results:

    • Identification of eight distinct legislative approaches to universal coverage.
    • Evaluation of policy options based on their definitions of the covered population and benefit packages.
    • Assessment of legal incentives and compliance mechanisms for financing and coverage.

    Conclusions:

    • Legislative policy design significantly impacts the achievement of universal health coverage.
    • Clear definitions of coverage, benefit adequacy, and robust incentive structures are essential.
    • Understanding employer and individual obligations is key to successful implementation and compliance.