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Hispanic workers are particularly disadvantaged with respect to access to employer based health insurance. Low levels of education and correspondingly low earnings as well as language difficulties contribute to the limited access that Hispanic workers have to employer-sponsored health insurance. At the same time, Hispanic workers are often more stably employed than their non-Hispanic counterparts. This paper compares the impact of employment, earnings and demographic characteristics on the probability of receiving an offer of employment based health insurance by Hispanic and non-Hispanic workers and on the take-up of insurance when it is offered. The paper finds that, once human capital, immigration status, and employment characteristics are controlled, Hispanic workers actually have a higher probability of being offered employment-sponsored health insurance than non-Hispanic workers. Take-up of offers of employer sponsored insurance are lower for Hispanic immigrants than for non-immigrant, non-Hispanic workers but there is no difference in take-up between U.S. bom Hispanic workers and non-immigrant, non-Hispanic workers.

In this article, we describe the evaluation of the Arizona Health Care Cost Containment System (AHCCCS), Arizona's alternative to the acute care portion of Medicaid. We provide an assessment of implementation of the program's innovative features during its second 18 months of operation, from April 1984 through September 1985. Included in the evaluation are assessments of the administration of the program, provider relations, eligibility, enrollment and marketing, information systems, quality assurance and member satisfaction activities, the relationship of the county governments to AHCCCS, the competitive bidding process, and the plans and their financial status.