Abstract
The author explores the relationship between entrepreneurship and health policy, specifically insurance policy, and the question of optimal design of insurance system to catalyze entrepreneurial activity in light of current policies designed primarily to address equity and cost issues. The analysis reviews the theory on the impact of social policy, specifically health insurance, upon the entrepreneur, and constructs a framework for analysis of health financing/insurance with respect to entrepreneurial activity. It presents a high level summary of current state initiatives and Health Savings Accounts (HSAs)/High-Deductible Health Plans (HDHPs) and evaluates them in light of this framework. The author finds that HSAs/ HDHPs and transitioning the insurance market to an individually oriented market remain the policy alternative most consistent with an entrepreneurial economy.
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5.11 References
Acs, Zoltan J., and Carl Schramm. 2006. A Roadmap for an Entrepreneurial Economy. Kansas City, Missouri: The E.W. Kaufman Foundation.
AP. 2006. Doctors rip state Medicaid shift. Journal Gazette, Sept 28, 2006.
Audretsch, David B. 1995. Innovation and Industry Evolution. Cambridge: MIT Press.
Audretsch, David B., and A. Roy Thurik. 1998. The Knowledge Society, Entrepreneurship and Unemployment. In EIM Research Report. Zoetermeer, The Netherlands: Erasmus Institute of Management
Audretsch, David, and Max Keilbach. 2004. Entrepreneurship Capital and Economic Performance. Regional Studies 38 (8):949–959.
Bate, Roger. 2003. Saving Lives Today and Tomorrow: Ensuring ongoing research into HIV/AIDs medicines. In Occasional Paper. Washington, DC: Africa Fighting Malaria.
Baumol, William, Robert Litan, and Carl Schramm. 2006. Good Capitalism Bad Capitalism. Bridgeport, CT: Yale University Press.
Blanchflower, D., and S. Oswald. 1998. What makes and entrepreneur? Journal of Labor Economics 16 (1):26–60.
Boyd, Dan. 2006. Legislature halts Medicaid reform: Kempthorne's ambitious proposal sees national interest, local concern. The Idaho State Journal.com, March 1, 2006.
Buttorff, Christine. 2006. Governor supports more at-home health services. Nashville City Paper, October 24, 2006.
Cutler, D., and R. Zeckhauser. 1999. The Anatomy of Health Insurance. In Working Paper Washington, DC: National Bureau of Economic Research.
Damberg, Cheryl L. 1996. Health Care Reform: Distributional Consequences of an Employer Mandate for Workers in Small Firms, Doctoral Dissertation. Santa Monica: RAND Graduate School.
Eberstadt, Nicholas, and Sally Satel, M.D. 2004. Health and the Income Inequality Hypothesis. Washington DC: AEI Press.
Editorial. 2006. A Runaway Drain: Texas must get a handle on Medicaid costs. The Dallas Morning News, Oct. 25, 2006.
Foster-Higgins. 1994. National Survey of Employer-Sponsored Health Plans. New York: Foster-Higgins.
Gruber, Jonathan, and Fames M. Poterba. 1994. Tax incentives and the decision to purchase health insurance: Evidence from the self-employed. Quarterly Journal of Economics 109 (August):707–733.
Helms, Robert. 2001. Positive Economics and Dismal Policies: The Role of Tax Policy in the Current Health Policy Debate. In The Political Economy of Healthcare Reform, edited by H. Zhou. Kalamazoo: W. E. Upjohn Institute for Employment Research.
Herrick, Devon M. 2006. Crisis of the Uninsured: 2006 Update. In Brief Analysis. Dallas, TX: National Center for Policy Analysis.
Highfield, R., and R. Smiley. 1987. New Business Starts and Economic Activity. International Journal of Industrial Organization 5:51–66.
Klick, Jonathan, and Sally Satel, M.D. 2006. The Health Disparities Myth. Washington DC: AEI Press.
Monheit, Alan C., and P. Holly Harvey. 1993. Sources of health insurance for the self employed: Does differential taxation make a difference? Inquiry (Rochester) 30 (3):293–305.
Moon, Marilyn, Len M Nichols, and Susan Wall. 1996. Medical Savings Accounts: A Policy Analysis. Washington DC: Health Policy Center of the Urban Institute.
Morgan-Chase, J.P. 2004. Chase Health Savings Account (HSA): 2006 Individual Participant HSA Enrollment Package: J.P. Morgan-Chase.
Moritz, Robert. 2006. Officials say Medicaid drug evaluation plan saving state money. Arkansas News Bureau, Sunday, Oct 1, 2006.
Morrisey, Michael A. 2003. Health Insurance. In National Small Business Poll, edited by J. W. J. Dennis. Washington, DC: National Federation of Independent Businesses.
Ohsfeldt, Robert L., and John E. Schneider. 2006. The Business of Health. Washington DC: AEI Press.
Perry, Charles W., and Harvey S. Rosen. 2004. The Self-Employed Are Less Likely to Have Health Insurance Than Wage Earners. So What? . In Public Policy and the Economics of Entrepreneurs, edited by D. Holtz-Eakin and H. S. Rosen. Cambridge: MIT Press.
Robinson, James C. 2001. The End of Asymmetric Information. Journal of Health Politics, Policy and Law 26 (5):1045–1053.
Robinson, W. S. 1950. Ecological Correlations and the Behavior of Individuals. American Sociological Review 15 (3):351–357.
Senior-Journal.com. Medicaid Spending Growth Hits New Record Low for States. Improving economy allows many to leave this safety net for the poor. New Tech Media 2006 [cited October 11, 2006. Available from http://www. seniorjournal.com/NEWS/Medicaid/6-10-11-MedicaidSpending.htm.
Shane, Scott. 2003. A General Theory of Entrepreneurship. Cheltenham: Edward Elgar.
Tahmincioglu, E. 2006. Health Care at a Premium. New York Times, November 30, 2006.
Vock, Daniel C. Patients Key to Latest Medicaid Reforms as States Roll Out Money-Saving Plans ‘Healthier beneficiaries are cheaper than sick-lier ones’ is the theme. New Tech Media 2006 [cited October 3, 2006. Available from http://www.seniorjournal.com/NEWS/Medicaid/6-10-03-PatientsKey.htm.
Wahlberg, David. 2006. Extend SeniorCare, Doyle urges. Wisconsin State Journal, Tuesday, Oct. 24, 2006.
Wolf, Charles Jr. 1997. Markets or Governments: Choosing Between Imperfect Alternatives. 2 ed. Cambridge: MIT Press.
Zuckerman, Stephen, Jennifer Haley, and Matthew Fragale. 2001. Could Subsidizing COBRA Health Insurance Coverage Help Most Low-income Unemployed? In Health Policy Online: Timely Analysis of Current Trends and Policy Options. Washington, DC: Urban Institute.
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Jackson, S. (2008). Entrepreneurial Healthcare: A Study in State Policy Arbitrage. In: Acs, Z.J., Stough, R.R. (eds) Public Policy in an Entrepreneurial Economy. International Studies in Entrepreneurship, vol 17. Springer, New York, NY. https://doi.org/10.1007/978-0-387-72663-2_5
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