To be successful pre 2014 , coverage expansion effort that help develop coverage constructs for 2014 often will need to leverage limited state and local funds in ways that parlay other financing sources. Potentially, these funds might include federal funds, state funds, federal tax subsidies, local funds, tobacco tax settlement funds, and contributions from the enrollees and their employers.

At the Institute for Health Policy Solutions, we can help to develop workable ways to leverage multiple funding. For example, this might mean coverage strategies to reach uninsured small-firm workers and families. Such approaches can be designed to develop rather than undermine the sense of individual and mutual responsibilities essential to successful implementation of coverage expansion under federal reforms in 2014

An Implementation and Alternative Scenario Analysis of California's Health Insurance Act of 2003 (SB2) (IHPS, April 2005)

Applying Large-Scale Subsidies for Low-Income Populations to Health Insurance Coverage through Small Firms (IHPS, May 2003)

Private Purchasing Pools to Harness Individual Tax Credits for Consumers (IHPS, December 2000 and Inquiry, Summer 2001)

Purchasing Private Health Insurance through Government Healthcare Program: A Guide for States (IHPS, June 1999)

Alternative Approaches for Paying Child Health Insurance Subsidies (IHPS, January 1998)

Health Care Financing Reform to Cover the Uninsured: A Guide to Joint Public and Private Financing Strategies (IHPS December 1992)