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Improving Access In a Binational Population The Potential Role for Binational Health Insurance Tim Waidmann & Saad Ahmad   The Urban Institute
Background on BHI ,[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Influencing Demand What’s in it for potential enrollees? ,[object Object],[object Object],[object Object]
Could BHI fill gaps? ,[object Object],[object Object],[object Object],[object Object]
Measuring Affordability/ Willingness to Pay ,[object Object],[object Object],[object Object],[object Object]
Out of Pocket Expenditures ,[object Object],[object Object],[object Object]
Other considerations ,[object Object],[object Object]
Supply side:What could be offered & at what price? ,[object Object],[object Object],[object Object],[object Object]
Coverage alternatives, cost   Full US-based plan New Migrant plan + IMSS New Migrant Plan + Seguro Popular Border HMO Mexi-Plan Primary & ER $12,000 $ 3,000 $ 3,000 $ 4,080 $ 1,800 Hospital cvd $  519 $  180 cvd cvd Out of Pocket $  200 $  200 $  200 $  200 $  800 Remittances $  450 $  450 $  225 $  450 $  450 Total $12,650 $ 4,169 $ 3,330 $ 4,430 $ 3,050
Price is right? ,[object Object],[object Object],[object Object],[object Object],[object Object]
A little help? ,[object Object],[object Object],[object Object],[object Object]
Best case? ,[object Object],[object Object],[object Object]
Adults, simulated coverage *Legal status imputed from other characteristics.
Implementation issues ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Research Questions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Concluding thoughts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MEPS spending estimates

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Binational Insurance

  • 1. Improving Access In a Binational Population The Potential Role for Binational Health Insurance Tim Waidmann & Saad Ahmad The Urban Institute
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. Coverage alternatives, cost   Full US-based plan New Migrant plan + IMSS New Migrant Plan + Seguro Popular Border HMO Mexi-Plan Primary & ER $12,000 $ 3,000 $ 3,000 $ 4,080 $ 1,800 Hospital cvd $ 519 $ 180 cvd cvd Out of Pocket $ 200 $ 200 $ 200 $ 200 $ 800 Remittances $ 450 $ 450 $ 225 $ 450 $ 450 Total $12,650 $ 4,169 $ 3,330 $ 4,430 $ 3,050
  • 10.
  • 11.
  • 12.
  • 13. Adults, simulated coverage *Legal status imputed from other characteristics.
  • 14.
  • 15.
  • 16.
  • 17.

Editor's Notes

  1. The idea of private health insurance as a way to cover a vulnerable population is perhaps a bit counterintuitive, but in the spirit of exploring all the options, we should consider if there are special circumstances for this particular population that provide a role for private sector insurers. The work I will talk about today, done with my colleage Saad Ahmad at the Urban Institute, was commissioned by The California Endowment to flesh out the idea of binational health insurance and its potential to reduce the high rate of uninsurance in the Mexican/American binational population