In the absence of federal legislation, states are actively seeking tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Qualified Health Plan Selection: Considerations for Consumers Webinar
Deborah Bachrach, Manatt Health Solutions Melinda Dutton, Manatt Health Solutions
As part of their series on “Helping Consumers Understand the Marketplaces,” Manatt Health Solutions, with support from the State Health Reform Assistance Network, led a webinar reviewing factors states will want to call out for consumers seeking guidance on how to choose among plans, especially young adults who may be choosing between catastrophic coverage and other options. This presentation reviewed the interplay between premiums and cost-sharing across the metal levels and catastrophic coverage generally and with respect to specific services, noting among other things the range of preventive services which must be provided without any cost-sharing in all options. Specific examples demonstrated the implications of different premium and cost-sharing options for consumers of different ages and with different incomes and health care needs. Finally, the webinar examined at non-financial considerations such as provider networks and formulary designs.
A recording of the webinar can be found here.