In 2019, the Washington legislature enacted a bill requiring insurers on the state’s health insurance exchange to offer plans with standardized benefit designs, beginning in 2021. Colorado and Maryland are considering similar requirements. As these and other states consider the option of standardized health plans, they can benefit from the experiences of California, the District of Columbia (D.C.), Connecticut, Massachusetts, New York, Oregon, and Vermont, all of which require insurers to offer standardized benefit designs. This Expert Perspective outlines benefits and risks of plan standardization, and raises critical questions that states will need to consider, and offers a decision roadmap for states implementing a standardized benefit design requirement.
State Health Policy Highlights: Service Integration and Joint Accountability Across State Agencies and Programs
Health status is largely influenced by factors outside the health care delivery system, particularly for low-income populations. State efforts to improve health and reduce health disparities through the lens of medical care alone will miss opportunities for individuals, particularly the most vulnerable and their communities. As more states focus broadly on population health goals, they seek to employ and coordinate a variety of health and other resources on targeted efforts. This State Health Policy Highlight profiles three State Health and Value Strategies (SHVS) issue briefs that provide states with practical approaches to improve individual and population health and create joint accountability across health care and other sectors.