Publications
Publications
- August 14, 2020
- NEJM Catalyst Innovations in Care Delivery
How Has COVID-19 Affected Health Insurance Offered by Small Businesses in the U.S.? Early Evidence from a Survey
By: Leemore S. Dafny, Yin Wei Soon, Zoë Cullen and Christopher T. Stanton
Abstract
As the COVID-19 pandemic stretches toward its third quarter, loss of health insurance coverage has not figured prominently in the public debate. Data in this report demonstrate why that is, but also suggest that the apparent stability is fragile, with potentially profound implications for the health care delivery system. We analyze the results of a survey of small U.S. businesses conducted in late June 2020. We find 60% offered health insurance coverage before the COVID-19 pandemic, and virtually all of those (95%) continued to do so as of June 15. However, nearly one-third of these respondents indicated they were not sure they could continue to pay premiums beyond another two months, raising the specter of significant coverage disruption by early fall. Only 5% reported receiving relief from insurers in the form of premium reductions. Additional steps by insurers and policymakers are necessary to forestall a large reduction and disruption in coverage.
Keywords
Citation
Dafny, Leemore S., Yin Wei Soon, Zoë Cullen, and Christopher T. Stanton. "How Has COVID-19 Affected Health Insurance Offered by Small Businesses in the U.S.? Early Evidence from a Survey." NEJM Catalyst Innovations in Care Delivery (August 14, 2020). (Commentary.)
About The Authors
