Health Savings Accounts — The Ownership Society in Health Care

James C. Robinson

58 citations0/0 files storedNew England Journal of Medicine

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Healthcare Policy and Management Financial Literacy, Pension, Retirement Analysis Healthcare Systems and Reforms

Abstract

Interview with James Robinson and Thomas Lee on health savings accounts and high-deductible plans. (09:47)Download When President George W. Bush, in his second inaugural address, described his vision of an “ownership society,” he specified not only the ownership of homes, businesses, and retirement savings, but also that of health insurance. Today, the most visible embodiment of this goal in the health care sector is the health savings account (HSA), which reflects a philosophical shift in emphasis from collective to individual responsibility for the management and financing of care. HSAs form the core of the emerging “consumer-directed” insurance plans, imposing greater cost sharing on enrollees but permitting broader choices than the health maintenance organization (HMO) plans . . .

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2005Health Care in the 21st Century 2004Reinvention of Health Insurance in the Consumer Era 2005Do High-Deductible Health Plans Threaten Quality of Care?

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