Health Care in Hawaii: Implications for National Reform

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Report Type	Reports and Testimonies
Report Date	Feb. 11, 1994
Report No.	HEHS-94-68
Subject	Health care cost control Health care services Health insurance Health insurance cost control Health statistics Insurance premiums Medicaid National policies Physicians State-administered programs Clinton Health Care Plan Hawaii Hawaii State Health Insurance Program Health Security Act National Health Care Reform Initiative Access to health care Comparative analysis

Summary:

For nearly 20, years, Hawaii has been a leader in the effort to achieve universal access to health insurance. It is the only state that requires employers to provide a minimum level of health insurance benefits to employees, and its public programs cover many residents lacking employment-based insurance. GAO makes several points. First, Hawaii's employer mandate did not have a harmful effect on small businesses. Second, although Hawaii's system of near-universal access has lowered health premiums, its per capita health care costs have risen at a rate similar to the national average. Third, Hawaii's experience suggests that an employer mandate by itself will not necessarily result in universal access to health care. GAO summarized this report in testimony before Congress; see: Health Care in Hawaii: Implications for National Reform, by Mark V. Nadel, Associate Director for National and Public Health Issues, before the House Committee on Small Business. GAO/T-HEHS-94-123, Mar. 16, 1994 (11 pages).

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Health Care in Hawaii: Implications for National Reform