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无福利的工作:小企业及其员工面临的医疗保险危机。

Jobs without benefits: the health insurance crisis faced by small businesses and their workers.

作者信息

Robertson Ruth, Stremikis Kristof, Collins Sara R, Doty Michelle M, Davis Karen

机构信息

The Commonwealth Fund, USA.

出版信息

Issue Brief (Commonw Fund). 2012 Nov;28:1-24.

Abstract

The share of U.S. workers in small firms who were offered, eligible for, and covered by health insurance through their jobs has declined over the past decade. Less than half of workers in companies with fewer than 50 employees were both offered and eligible for health insurance through their jobs in 2010, down from 58 percent in 2003. In contrast, about 90 percent of workers in companies with 100 or more employees were offered and eligible for their employer's health plans in both 2003 and 2010. Workers in the smallest firms--and those with the lowest wages--continue to be less likely to get coverage from their employers and more likely to be uninsured than workers in larger firms or with higher wages. The Affordable Care Act includes new subsidies that will lower the cost of health insurance for small businesses and workers who must purchase coverage on their own.

摘要

在过去十年中,美国小公司里通过工作获得医疗保险资格并实际参保的员工比例有所下降。2010年,员工人数少于50人的公司中,不到一半的员工通过工作获得了医疗保险资格,这一比例低于2003年的58%。相比之下,2003年和2010年,员工人数在100人及以上的公司中,约90%的员工获得了雇主提供的医疗保险资格。与大公司或高工资员工相比,最小规模公司的员工以及低工资员工从雇主那里获得保险的可能性仍然较小,未参保的可能性更大。《平价医疗法案》提供了新的补贴,这将降低小企业和必须自行购买保险的员工的医疗保险成本。

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