Reading the fine print: State considerations for medicaid buy-in plans

Emma Sandoe, Ezra Golberstein

Research output: Contribution to journalArticlepeer-review

Abstract

States that are pursuing Medicaid buy-in plans have considerable options in designing a plan to meet their goals. Buy-in plans will reflect key decisions on four major issues: 1) whether plans are sold on or off exchange, 2) whether plans are run by the state or a Medicaid Managed Care Organization, 3) who is eligible to purchase plans, and 4) which benefits and providers will be covered and at what payment rates. Our goal is to clarify the implications of these choices with respect to the goals and with respect to the tradeoffs each choice would involve.

Original languageEnglish (US)
Pages (from-to)153-164
Number of pages12
JournalJournal of health politics, policy and law
Volume45
Issue number1
DOIs
StatePublished - Feb 1 2020
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2020 by Duke University Press.

Keywords

  • Coverage expansion
  • Health reform
  • Medicaid
  • Medicaid buy-in

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