Washington State Health Services Act: implementing comprehensive health care reform.
Jacobson, Peter D
Date of Pub
In 1993, Washington State enacted the Health Services Act of 1993 (HSA) to guarantee universal access to health care through
an employer mandate, with caps on premiums as the primary cost-control mechanism. The HSA represents the Nation's first formal
experiment with managed competition. This article reports the results of a case study of the HSA's implementation. The study
concludes that the Washington State initiative can be replicated in other States, but that implementation is complex, requires
sustained public education, and requires cooperation from the Federal Government through program waivers. A major implementation
challenge is to facilitate competition and minimize regulation.
Competitive Medical Plans/legislation & jurisprudence : Cost Control : Data Collection : Health Benefit Plans, Employee/legislation
& jurisprudence : Health Care Costs/trends : Health Care Reform/legislation & jurisprudence/organization & administration
: Health Services Accessibility/economics/trends : Health Services Needs and Demand/economics/trends : Managed Care Programs/economics/legislation
& jurisprudence/organization & administration : Minority Groups : Politics : State Health Plans/economics/legislation & jurisprudence
: Support, U.S. Gov't, Non-P.H.S. : United States : Washington