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Canadian Health Insurance: Estimating Costs and Savings for the United States

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Report Type Reports and Testimonies
Report Date April 28, 1992
Report No. HRD-92-83
Subject
Summary:

In a June 1991 report (GAO/HRD-91-90), GAO noted that if the United States were to adopt key elements of the Canadian health insurance system--universal insurance with no deductibles or copayments, controls on provider reimbursement, and administration by a single, public payer--the administrative savings could offset any added costs associated with a Canadian-style system. GAO updates that work with a detailed discussion of how it arrived at its estimates. Although analyses of how U.S. health spending would change under a Canadian-style system generally suggest that administrative savings could be significant, estimates vary more widely on possible costs arising from eliminating copayments. GAO compares these studies and the range of estimates. GAO also presents detailed information on the methodology it used to develop its savings and cost estimates for a Canadian-style system.

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