Publications and Reports
Kaiser Family Foundation: The New Middle-Class of Uninsured Americans -- Is it Real?
This issue paper discusses and answers the question are the newly uninsured in 2001 predominantly from the middle-class. The paper examines U.S. Census Bureau’s data and concludes that most of the increase in the uninsured (1.3 million people) was among low-income people with incomes less than 200% of the poverty level.
Kaiser Family Foundation, March 2003
"Executive Summary: The Uninsured: A Study of Health Plan Initiatives and the Lessons Learned"
The study, conducted by the non-profit NIHCM Foundation and funded by the Robert Wood Johnson Foundation, presents a new analysis and framework for understanding the uninsured population. It also examines in depth 13 private health plan initiatives designed to attract uninsured people.
National Institute for Health Care Management (NIHCM), March 2003
"Going Without Health Insurance: Nearly One in Three Non-Elderly Americans"
This report estimates that approximately 75 million Americans under
65 years of age were uninsured sometime in 2001 and 2002. The report further estimates that almost twothirds
(65%) were uninsured for at least six months, and nearly one-quarter (24%) were uninsured
throughout the two-year period.
Robert Wood Johnson Foundation, March 2003
Summary of "A Shared Destiny: Community Effects of Uninsurance"
The fourth Committee report examines the issue of uninsurance from a community perspective, showing that the quality, quantity, and scope of health services within the community can be adversely affected by having a large or growing uninsured population. This report explores the overlapping financial and organizational basis of health services delivery to uninsured and insured populations, the demonstrated and hypothesized effects of community uninsurance on access to health care locally, and the potential spillover effects of uninsurance on a community's economy and the health of its citizens.
Institute of Medicine, March 2003
Covering the Uninsured Fact Sheets
These fact sheets contain basic information on the issue of health care coverage in America and, in particular, on Americans who do not have health insurance. These fact sheets will be periodically updated and additional ones will be available in the near future.
Covering the Uninsured, February 2003
"Small But Significant Steps to Help the Uninsured"
This report from Jeanne M. Lambrew and Arthur Garson, Jr., outlines a number of approaches to address the issue of the uninsured and suggests low-cost policies that could provide relief in this
environment.
Commonwealth Fund, January 2003
IOM - Consequences of Uninsurance
This study discusses the findings from a three-year study of the uninsured conducted with support from the Robert Wood Johnson Foundation. A 16-member Committee issued six reports between September 2001 and January 2004.
Institute of Medicine, January 2004
"Covering America: Real Remedies for the Uninsured," vol. 2
This paper, the second in a series, is a set of three new proposals from distinguished health analysts who outline policy options for broadly extending health insurance coverage. This volume includes three commentaries by distinguished observers of the health system about the challenges of achieving major coverage expansions and how they can be addressed.
Economic and Social Research Institute, November 2002
"Covering America: Real Remedies for the Uninsured," vol. 1
This paper is a set of 10 comprehensive health coverage proposals that seek to move the country toward universal health coverage. The proposals include a number that are broad in scope and go beyond incremental reform. Included are new approaches to using federal income tax credits, expanding Medicaid and the State Children's Health Insurance Program, implementing Medicare buy-ins, and organizing insurance purchasing.
Economic and Social Research Institute, June 2001
"Nine Billion Dollars a Year to Cover the Uninsured: Possible Common Ground for Significant, Incremental Progress"
This paper suggests that a variety of approaches could build on earlier, bipartisan accomplishments and cover a large group of uninsured. Suggested approaches include: individual choice strategies, hybrid strategies, and state-based strategies.
Economic and Social Research Institute, October 2002
"A Revolving Door: How Individuals Move In and Out of Health Insurance Coverage"
This research highlight reviews research on the uninsured shows that many individuals quickly move in and out of coverage.
The Economic Research Initiative on the Uninsured (ERIU) at the University of Michigan, October 2002
"Health Insurance Is a Family Matter"
The third Committee report addresses the impact on the family of not having health insurance. It examines the consequences for family health, financial stability, and general well-being. The report also addresses the effect of uninsurance on the health of children and pregnant women.
Institute of Medicine, September 2002
Kaiser Family Foundation: Sicker and Poorer: The Consequences of Being Uninsured
This report synthesizes the major findings of the past 25 years of health services research assessing the most important effects of health insurance.
Kaiser Commission on Medicaid and the Uninsured, May 2002
"The Uninsured: A Primer - Key Facts about Americans without Health Insurance"
This document provides a basic overview of issues involving the uninsured population. Includes a discussions of who are the uninsured, trends in the numbers, the role of employer-sponsored insurance and Medicaid, and the impact of being uninsured. Includes tables and charts with data from the 2001 U.S. Census survey.
Kaiser Family Foundation, December 2003
"Care Without Coverage: Too Little, Too Late"
Part of a series of reports examining the consequences of being uninsured for individuals, families, communities and society as a whole.
Institute of Medicine, May 2002
"Changes In Insurance Coverage: 1994–2000 And Beyond"
Report reveals that although the number of Americans with employer coverage increased dramatically, the rate of uninsurance remained essentially unchanged.
Health Affairs, April 3, 2002
"Treading Water: American's Access to Needed Medical Care, 1997-2001"
Report finds that despite unprecedented economic growth, low unemployment and fewer uninsured people, Americans’ ability to get needed medical care failed to improve significantly between 1997 and 2001.
Center for Studying Health System Change, March 2002
"Health Care Access for Uninsured Adults: A Strong Safety Net Is Not the Same as Insurance"
Brief examines the extent to which differences in the safety-net environment account for differences in the uninsureds' access to and use of health care.
The Urban Institute, January 2002
"A Perfect Storm: the Confluence of Forces Affecting Health Care Coverage"
This report examines the confluence of powerful economic forces, fueled by the terrorist attacks of September
11, have unleashed a “perfect storm” that could increase dramatically the number of
uninsured people in the U.S. -- with as many as 6 million people in total losing their
coverage in 2001 and 2002.
National Coalition on Health Care, November, 2001
"Coverage Matters: Insurance and Health Care"
The first of five reports that "examine the consequences of being without insurance, not only for persons who are uninsured and their families, but also for the communities in which they live and for society."
Institute of Medicine, October 11, 2001
"Covering the Low-Income Uninsured: Assessing the Alternatives"
This issue brief describes and analyzes expansions of Medicaid and SCHIP, tax credits for individually-purchased insurance, and tax credits for employment-based health insurance as options to expand health coverage of the low-income population.
Kaiser Family Foundation, July 2001
"Staying Covered: The Importance of Retaining Health Insurance for Low-Income Families"
This report, by Leighton Ku and Donna Cohen Ross of the Center on Budget and Policy Priorities, argues that improving insurance retention is both a cost-effective and under-appreciated way to increase the number of insured individuals.
Commonwealth Fund, December 2002
"Security Matters: How Instability in Health Insurance Puts U.S. Workers at Risk"
This report reveals that being without health insurance coverage even for a short time could have long-term health and economic consequences. Insured people who had experienced a time uninsured during the past year were equally likely to have problems paying medical bills and accessing health care as those who were uninsured when surveyed.
Commonwealth Fund, December 2001
"Counting and Characterizing the Uninsured"
This Economic Research Initiative on the Uninsured working paper, sponsored by Regents of the University of
Michigan and the Robert Wood Johnson Foundation, discusses the available research and methods for quantifying the issue of the uninsured.
Economic Research Initiative on the Uninsured,
University of Michigan,
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