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Studies

Brief Summary of Two Studies

The Health Care For All Californians Act: Cost and Economic Impacts
The Lewin Group, January 19, 2005

 

The Lewin Group was commissioned by the HCA-CA Education Fund to study the economics of SB 921. The study was conducted during the year 2004.

 

You can download the whole Lewin report or a summary. You may also wish to review several charts prepared by the Lewin Group.

You might also like to read Senator Sheila Kuehl's fact sheet about the Lewin study.

 

Here are some of the key findings.

 

 

senior

Significant savings in total health spending in California would be achieved through a single insurance plan. In the first year of the plan, almost $8 billion would be saved.

lewin chart 1

 

The savings in administrative costs (about $20 billion in the first year) would help pay for both the uninsured and underinsured. The approximately 25% of healthcare costs that is spent on administration would be reduced to about 4% (similar to Medicare's administrative costs.) All components of administration would save significantly.

lewin chart 2

 

Businesses would realize an average savings of 16% compared to what they pay today. There is actually a wide range of savings among business, in part depending upon the number of employees.

lewin chart 3

 

Families would save on average $340 per year under this new plan. The following chart breaks the savings down for age groups.

lewin chart 4

 

Families whose annual income is less that $150,000 would save between $400 and $3,000 in the first year. Families with incomes higher than $ 150,000 would pay more.

lewin chart 5

 

The Lewin Group study projected costs of healthcare for ten years. Under the current system, costs would grow at a greater pace than they would under a single insurance fund. By the end of the ten year period, Californians would save a total of $344 billion with the new plan.

lewin chart 6


Health Care Options Project
The Lewin Group, 2002

The State of California's recent health care study, the Health Care Options Project (HCOP), conducted by the California Health and Human Services Agency (CHHS), demonstrated that a publicly funded and administered universal health insurance program (also knows as single payer) will save billions of health care dollars and provide the necessaryfunding for universal health care.

Delivery of health care services would still be provided as it currently is through both public and private providers.

California can afford full benefits to all residents by replacing inefficient multiple insurance company health plans with a single efficient publicly administered plan for everyone.

 

hca - savings in the cost of  health care

The results of the HCOP study were stunning. In graph form, it shows the difference is costs between single payer financing and other reforms.

 

The leading author stated:

“Under all of the plans here, there is an increase in costs, reflecting the fact that you'd have more insured people using more health services…. But …under the single payer program, we show that there is a net reduction in spending. We actually spend less, in the aggregate, on health care. The reason for this is that there are very large administrative savings that are realized through using a simple, single program to pay for health care. There are also some bulk purchasing savings which we believe could be quite substantial.” - John Sheils, The Lewin Group. Concluding remarks on the micro-simulation of the nine health care reform proposals, Healthcare Options Symposium, Sacramento, April 12, 2002

The AZA Consulting Group assessed the differences in quality of healthcare and found the single payer plan to be the most beneficial. hca - quality measurea in health care

HCOP Study Background Archive

California Universal Health Insurance Coverage Study (CUHICS)

The Universal Health Coverage Study: Background, Overview and Update

Study Options

Universal Health Care Technical Advisory Committee - (UHCTAC): Recommendations by Subject

HCA Recommendations Regarding Study