What are the origins of health insurance? | Health Insurance (2024)

What are the origins of health insurance? | Health Insurance (2)

In 1850, the first U.S. insurance firm was founded. It offered insurance against injuries received during an accident. Hospital and medical expense insurance wasn’t introduced until the 1920s. Individual hospitals (and in 1929, employers) offered pre-paid plans to help cover the cost of medical expenses. Employer- (or union) sponsored health insurance became commonplace after World War II when it was offered as a benefit to compensate for limited wages, or as a recruiting tool in job categories with high demand and limited supply. President Truman began throwing around the idea of a government-sponsored health plan during this post-war period. However, it wasn’t until 1965 that Lyndon Johnson signed Medicare and Medicaid into law. In the 1970s, changes in the law allowed managed care through HMOs. Today, as you well know, the options for healthcare plans are extensive and quite complicated.

What are the origins of health insurance? | Health Insurance (3)

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What are the origins of health insurance? | Health Insurance (4)

The earliest form of health insurance (as opposed to life insurance) was "accident" insurance, which typically paid a specific, pre-determined amount to the policyholder if an accident occurred. This was the sole type of insurance available in the United States until the mid-1800s.
The true precursor to modern health insurance began in Texas in 1929. Justin Kimball created Blue Cross to allow teachers in Dallas to pay a hospital 50 cents a month and not be charged when, later, they went to that hospital to have children. This was actually pre-payment and not insurance, although some of them probably never had children.
That hospital maternity plan evolved to include sickness and injury care as it does today. It still covered only the hospital charges. Then Blue Shield was created to cover the growing expense of physician care.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.

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As out of your control as health insurance may seem at times, there are things you can do to make your whole experience better and easier -- whether you're looking to fight back when a claim's denied, dealing with the loss of a job or wondering how healthcare reform will affect you. Take control by reading the fine print and don't be shy about making changes to your health plan.

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What are the origins of health insurance? | Health Insurance (2024)

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What are the origins of health insurance? | Health Insurance? ›

Predating private health insurance were efforts at government-sponsored coverage for workplace injury and a tradition of industrial sickness funds. The Great Depression led hospitals and then physicians to implement forms of insurance as means to ensure payment for services.

What is the origin of health insurance? ›

During the 1920s, individual hospitals began offering services to individuals on a pre-paid basis, eventually leading to the development of Blue Cross organizations in the 1930s. The first employer-sponsored hospitalization plan was created by teachers in Dallas, Texas in 1929.

How did insurance start in the United States? ›

History. The first insurance company in the United States underwrote fire insurance and was formed in Charleston, South Carolina, in 1735. In 1752, Benjamin Franklin helped form a mutual insurance company called the Philadelphia Contributionship, which is the nation's oldest insurance carrier still in operation.

Why did companies start offering health insurance? ›

Industrialization was in full swing at this time, and workers faced hazardous conditions and increasing health risks. As a result, some employers started offering medical services and coverage to their employees as a way to attract and retain workers.

Who invented public health insurance? ›

The social health insurance model is also referred to as the Bismarck Model, after Chancellor Otto von Bismarck, who introduced the first universal health care system in Germany in the 19th century. The funds typically contract with a mix of public and private providers for the provision of a specified benefit package.

Who invented insurance and why? ›

Around 600 BC, the Greeks and Romans formed the first types of life and health insurance with their benevolent societies. These societies provided care for families of deceased citizens.

What was the original purpose of health insurance quizlet? ›

Briefly describe the history of health insurance in the United States. Health insurance began as insurance to prevent loss of income due to illness or inability to work, but as the health care itself became more expensive, insurance began to cover its costs.

When was health insurance first offered in the United States? ›

To help solve this problem, someone in the late 1920s had a bright idea: hospital insurance. The first hospital plan was introduced in Dallas, Texas, in 1929.

When did insurance start in America? ›

The 18th century saw the establishment of the first insurance companies in America — The Friendly Society, founded in 1735 in Charleston, South Carolina. This mutual insurance company went out of business just five years later.

When did healthcare start in the United States? ›

In 1929, Blue Cross Blue Shield established the first employer-sponsored health coverage in Dallas as a partnership between the Baylor University hospital and its patients. The patients, many of whom were school teachers, were struggling to cover their medical bills.

When did businesses start providing health insurance? ›

However, it wasn't until the 1940s that employer health insurance truly gained momentum. During World War II, due to wage freezes imposed by the government to fight inflation, employers began offering health insurance to attract and retain workers. Then, in the 1950s, the government threw in tax benefits.

Why is health insurance so expensive? ›

Healthcare system complexity

This complexity often results in administrative inefficiencies, increased paperwork, and higher operational costs for both healthcare providers and insurers. These added expenses are eventually passed on to consumers in the form of higher insurance premiums, deductibles, and copayments.

Why does health insurance cost so much in the US? ›

There are many possible reasons for that increase in healthcare prices: The introduction of new, innovative healthcare technology can lead to better, more expensive procedures and products. The complexity of the U.S. healthcare system can lead to administrative waste in the insurance and provider payment systems.

Which country has the best healthcare in the world? ›

Singapore

What president started Medicaid? ›

On July 30, 1965, President Lyndon B. Johnson signed into law legislation that established the Medicare and Medicaid programs.

What country has free healthcare? ›

However, Brazil is the only country in the world that offers free healthcare for all its citizens. Also, Norway is the first country in the world to implement a free healthcare policy as far back as 1912.

When was the concept of health insurance established? ›

To help solve this problem, someone in the late 1920s had a bright idea: hospital insurance. The first hospital plan was introduced in Dallas, Texas, in 1929.

Why did the AMA oppose national health insurance? ›

An increasingly powerful AMA opposed NHI efforts believing physicians would lose their autonomy, be required to work in group practice models and be paid by salary or capitated methods. In addition, business and labor groups were not supportive, nor was the emerging private health insurance industry.

Is health insurance mandatory in the US? ›

Health insurance coverage is no longer mandatory at the federal level, as of Jan. 1, 2019. Some states still require you to have health insurance coverage to avoid a tax penalty.

What happens if you have no health insurance in America? ›

If you don't have health insurance, you're at much greater risk of accumulating medical bills that you may not be able to pay. In a worst-case scenario, you could be sued and have your wages garnished. You might even be forced into bankruptcy.

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