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Working Paper Series

Economic Analysis of Single-Payer Healthcare in Ohio: Context, Savings, Costs, Financing

Working Paper No. 1, July 2018 | Gerald E. Friedman


This economic analysis explores the implications of a single payer health plan in the state of Ohio if it were to go into effect in 2019.  The Act would replace Ohio’s current multi-payer system in which individuals, private businesses and government entities pay public and private insurers for health care coverage.  The Act would establish a state health plan to finance medically necessary care including hospitalization, doctor visits, dental, vision, mental/behavioral health, prescribed occupational and physical therapy, prescription drugs, medical devices, and rehabilitative care. The Plan would offer this comprehensive coverage to all residents and would pay for it with broad-based, progressively graduated premiums assessed by the State on payrolls and on non-payroll income. Long-term care will be added under a plan to be developed within two years of the Act taking effect.

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