Cost Impact Analysis for the "Health Care for America" Proposal
January 2008
Economic Policy Institute
Lewin contact: John Sheils
For the Economic Policy Institute, The Lewin Group estimated the cost impact of the Health Care for America Proposal. Under the Proposal, employers would be required to provide coverage or pay a payroll tax to have their workers covered under a newly created national health insurance pool called Health Care for America (HCA). Modeled on Medicare, Health Care for America would offer a single Medicare-like fee-for-service option and a selection of Health Maintenance Organizations or other private managed care plans. People who do not have employer-sponsored insurance would be covered under HCA, including those now covered under Medicaid and the State’s Children’s Health Insurance Program. The Lewin Group's analysis estimates that the Health Care for America Proposal would cover 46.5 million uninsured people without increasing national spending for health care, largely through lower provider reimbursement, administrative simplification and other features of the proposal.