Reading the Fine Print: State Considerations for Medicaid Buy-In Plans.

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,...

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Bibliographic Details
Published in:Journal of Health Politics, Policy & Law Vol. 45; no. 1; pp. 153 - 165
Main Authors: Sandoe, Emma, Golberstein, Ezra
Format: Article
Published: Duke University Press Feb2020
Subjects:
Online Access:View this record in EBSCOhost
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        atl: Reading the Fine Print: State Considerations for Medicaid Buy-In Plans.
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          Sandoe, Emma
          Golberstein, Ezra
        affil:
          Harvard University
          University of Minnesota
      su:
        United States
        Economic impact
        Medicaid
        Decision making
        Insurance
        Managed care programs
        Health care reform
        Managed competition (Medical care)
        Eligibility (Social aspects)
        Patient Protection & Affordable Care Act
        Health insurance exchanges
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        subj:
          Economic impact
          Medicaid
          Decision making
          Insurance
          Managed care programs
          United States
          All Other Insurance Related Activities
          Third Party Administration of Insurance and Pension Funds
          Other Insurance Funds
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Health care reform
          Managed competition (Medical care)
          Eligibility (Social aspects)
          Patient Protection & Affordable Care Act
          Health insurance exchanges
      keyword:
        coverage expansion
        health reform
        Medicaid Buy-In
        coverage expansion
        health reform
        Medicaid Buy-In
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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