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What’s All This Talk About Arkansas?

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Presentation on theme: "What’s All This Talk About Arkansas?"— Presentation transcript:

1 What’s All This Talk About Arkansas?
Progressive States Network April 22, 2013 Alan Weil Executive Director National Academy for State Health Policy

2 Arkansas Plan Medicaid expansion
Use premium assistance through the health insurance exchange Seek to make mandatory Seek to have the exchange coverage meet all the requirements the state has under Medicaid

3 What is Medicaid Premium Assistance?
Long-standing set of programs to use private insurance as the first payer Limited because: Most on Medicaid don’t have an offer of employer-sponsored insurance Often only cost-effective for those with significant health needs Administratively complex Wrap benefits or get a waiver

4 ACA Changes Feasibility of Premium Assistance
Individual insurance becomes viable Essential health benefits Rating restrictions Health insurance exchange Benefits are closely (not perfectly) aligned Administration much simpler

5 The Bottom Line Arkansas plan makes a conversation possible primarily for political reasons Cost-effectiveness is uncertain CMS flexibility is uncertain But if you can make it work it has potential Reduced churn Consolidated purchasing Better access? Don’t forget – it is still a Medicaid expansion

6 Selected Resources Once in A Weil Blog: Much Ado about Arkansas and Where Does the Arkansas Bandwagon Lead? HHS FAQs on Medicaid and the Affordable Care Act: Premium Assistance Health Reform GPS Health Reform GPS: Update- Using Medicaid to Provide Premium Assistance for Exchange Coverage Financial Impact of Arkansas’ Private Option Plan for Insurance Premium Assistance State Health Reform Assistance Network: Purchasing Coverage for Medicaid Beneficiaries in the Exchange: A Review of the Premium Assistance Option StateRefor(u)m Arkansas Documents

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