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 Medicaid Financing Fact Sheets
As states seek to understand the impacts of proposed changes to Medicaid financing, comparative data on where states stand can be very valuable. The memos included here use state-specific data to analyze the impact of proposals to limit federal Medicaid funding on all 50 states and the District of Columbia. The state data are drawn from a tool kit prepared by Manatt Health for the Robert Wood Johnson’s State Health Reform Assistance Network. While the most recent attempt to cap federal Medicaid funding in the American Health Care Act did not advance to a vote in the Congress, it is likely that this issue will remain a priority for Congressional leadership. And, future capped funding proposals can be expected to rely on historic state-specific spending patterns and national trend rates as earlier proposals did. These memos are intended to assist states in evaluating how they might fare relative to other states under a capped funding model considering the unique features of each state’s health care landscape.