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.
Tools and Policy Considerations for State Medicaid Expansion Analyses
National Academy for State Health Policy – Kaitlin Sheedy and Katharine Witgert
This brief, prepared by the National Academy for State Health Policy, lays out the major factors states have considered in estimating the cost of a potential Medicaid expansion. The major factors addressed in this brief are: Who will enroll in Medicaid with or without a Medicaid expansion?; How do the alternatives afforded by Medicaid’s Alternative Benefit Plans and Medicaid waivers affect expansion considerations?; How are health care institutions, state agencies, and a state’s broader economy affected by a state’s decision regarding Medicaid expansion? By providing examples of state fiscal impact analyses, and highlighting tools created through the State Network, the brief can inform future state analyses regarding Medicaid expansion. The Medicaid Expansion: Framing and Planning a Financial Impact Analysis is among the State Network resources highlighted. It provides a worksheet and considerations table to guide states conducting their own Medicaid expansion analyses.