State Medicaid Buy-Ins: Key Questions to Consider

Prepared for the State Health and Value Strategies program, a grantee of the Robert Wood Johnson Foundation

Lawmakers across the country are considering “Medicaid buy-in” programs to stabilize the Affordable Care Act insurance market and offer a coverage option that is more affordable and accessible than current options in the individual and employer markets. The concept of Medicaid buy-in is evolving, encompassing the original Medicaid-based proposals and extending to other programs through which states can leverage government bargaining power to offer a more affordable coverage option, like state employee health plans or a Basic Health Plan.

In a new brief for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health discusses six key issues that state policymakers need to consider when choosing a buy-in model, designing its features and introducing a Medicaid buy-in program. Considerations include:

  • Setting state buy-in goals
  • Potential sources of buy-in funding
  • Potential impacts on existing insurance markets
  • Whether to pursue a federal 1332 waiver
  • State implementation capacity
  • Key steps for implementation

Read the full issue brief here.

Manatt Health also presented a webinar with State Health and Value Strategies, on State Medicaid Buy-Ins. More information can be found here.

Support for this project was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation.



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