FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

The American Health Care System Previous Volume 340:248-252 January 21, 1999 Number 3

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF Purchase this article Letters Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited PubMed Citation

Most Americans rely on their employers for health insurance. In 1997, of the 167.5 million nonelderly Americans with private health insurance, 151.7 million belonged to employer-provided health plans.¹ In response to the escalating cost of health insurance coverage in the 1980s, employers began devising new strategies of cost containment. These included contracting with health plans that practiced a stringent form of managed care, substituting cheaper forms of health coverage for more expensive ones, limiting employees' choice of health plans, and shifting costs to employees in a variety of ways. These measures have stabilized health insurance costs for employers. However, they . . . [Full Text of this Article]

Reducing Employers' Costs

Managed Care and Diminished Choice

Cost Shifting to Employees

Squeezing Out Lower-Income Employees

Reducing Benefits to Retirees

Conclusions

References

Related Letters:

The American Health Care System
Menon M., Vickers M. A., Alpert J. J., Boren S. D., Boren D. M., Anstadt G. W., Leeman C. P., Rosenblatt M. G., Gornick M. E., Maun R. A., LaPorta R. F., Iglehart J. K., Bodenheimer T., Angell M.
Extract | Full Text  
N Engl J Med 1999; 341:917-921, Sep 16, 1999. Correspondence

This article has been cited by other articles:

• Wyden, R., Bennett, B. (2008). Finally, Fixing Health Care: What's Different Now?. Health Aff (Millwood) 27: 689-692 [Abstract] [Full Text]  
• Reeher, G. (2003). Reform and Remembrance: The Place of the Private Sector in the Future of Health Care Policy. Journal of Health Politics, Policy and Law 28: 355-386 [Abstract]  
• Shi, L., Forrest, C. B., von Schrader, S., Ng, J. (2003). Vulnerability and the Patient-Practitioner Relationship: The Roles of Gatekeeping and Primary Care Performance. AJPH 93: 138-144 [Abstract] [Full Text]  
• Coburn, A. F. (2001). Models for Integrating and Managing Acute and Long-Term Care Services in Rural Areas. Journal of Applied Gerontology 20: 386-408 [Abstract]  
• Cable, G (2001). Enhancing causal interpretations of quality improvement interventions. Qual Saf Health Care 10: 179-186 [Abstract] [Full Text]  
• Morreim, E. H. (2001). Result-Based Compensation in Health Care: A Good, But Limited, Idea. J Law Med Ethics 29: 174-181  
• Morreim, E. H. (2001). Result-Based Compensation in Health Care: A Good, But Limited, Idea. J Law Med Ethics 29: 174-181  
• Fiscella, K., Franks, P., Gold, M. R., Clancy, C. M. (2000). Inequality in Quality: Addressing Socioeconomic, Racial, and Ethnic Disparities in Health Care. JAMA 283: 2579-2584 [Abstract] [Full Text]  
• Dickey, N. W., McMenamin, P. (1999). Putting Power into Patient Choice. NEJM 341: 1305-1308 [Full Text]  
• Menon, M., Vickers, M. A., Alpert, J. J., Boren, S. D., Boren, D. M., Anstadt, G. W., Leeman, C. P., Rosenblatt, M. G., Gornick, M. E., Maun, R. A., LaPorta, R. F., Iglehart, J. K., Bodenheimer, T., Angell, M. (1999). The American Health Care System. NEJM 341: 917-921 [Full Text]  
• Light, D. W. (1999). Good Managed Care Needs Universal Health Insurance. ANN INTERN MED 130: 686-689 [Abstract] [Full Text]  
• Iglehart, J. K. (1999). Medicaid. NEJM 340: 403-408 [Full Text]  
• Iglehart, J. K. (1999). Medicare. NEJM 340: 327-332 [Full Text]  
• Titlow, K., Emanuel, E. (1999). Employer Decisions and the Seeds of Backlash. Journal of Health Politics, Policy and Law 24: 941-947