State Single Payer And Medicaid Buy-In: A Look At California, New York, And Nevada

Rising insurance premiums, lack of access, uncertainty, and commotion around Affordable Care Act (ACA) repeal, have all contributed to the growing discontent and unease surrounding health care reform. Pressure to act continues to mount. Insurance titans Humana, United Healthcare, and Aetna have all rolled-back participation on the ACA Marketplaces. Anthem recently announced that it would exit the Ohio health insurance Marketplace, potentially leaving at least 18 counties without an exchange plan next year. Missouri and Washington State are also facing similar Marketplace participation issues. States such as Alabama, Arizona, Illinois, Kansas, Minnesota, Oklahoma, Pennsylvania, and Tennessee have seen individual market exchange premiums increase more than 45 percent since 2016. Furthermore, participating exchange plans are asking for steep rate increases for next year—averaging between 11.1 percent and 44.7 percent. These events have contributed to an economic and political climate ripe for disruptive legislation. While Congress and the current administration pursue solutions to address premium and access issues, more states are inserting themselves in the conversation. More than a dozen states have explored options to leverage federal 1332 and 1115 waivers, which would provide flexibility to develop market stabilizing programs and regulatory changes to their respective individual and Medicaid markets. More recently, a few state legislatures have leap-frogged one-off pro...
Source: Health Affairs Blog - Category: Health Management Authors: Tags: Costs and Spending Following the ACA Insurance and Coverage Medicaid and CHIP Payment Policy California individual markets Medicaid buy-in nevada New York state single-payer systems Source Type: blogs