Pathways to Lower Health Prices @Pathways_to_LHP
We document and analyze public option programs and generate best practice recommendations. A project of @WynneHealth publicoptioninstitute.org Washington, DC Joined January 2020-
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We are excited to announce that with support from @Arnold_Ventures, we will be hosting a briefing on October 26 with three panelists to discuss efforts to lower commercial heath care costs, state-level cost containment policies, and CMMI's AHEAD Model. share.hsforms.com/1waU6pk10QCa7-…
In our most recent memo we assess the potential impact and viability of state policy options that seek to apply downward pressure on commercial health care prices: caps on the level or growth of prices, global budgets; and total cost growth benchmarks pathwaystolowerhealthprices.org/feed-pathwaysa…
Based on initial rate filings for the 2024 plan year, no insurance carriers are able to meet the 10 percent premium rate reduction requirement for Colorado Option standardized plans. See our full summary here pathwaystolowerhealthprices.org/feed-co-implem…
Recently, the Colorado DOI adopted emergency regulations establishing the standardized plan designs and methodology for calculating premium rate reductions for the Colorado Option offered in plan year 2024. Read our summary here pathwaystolowerhealthprices.org/feed-co-implem…
The Washington Health Benefit Exchange recently released the draft 2024 Cascade Care Savings policy for public comments, due April 17, 2023. See our summary here pathwaystolowerhealthprices.org/feed-wa-implem…
We break down the Colorado DOI adopted regulations for the enforcement of premium rate reduction requirement pathwaystolowerhealthprices.org/feed-co-implem…
In Dec 2022, the Nevada DHHS released its Section 1332 innovation waiver application as part of the state’s effort to offer the Nevada Public Option. We examine how this compares to WA and CO pathwaystolowerhealthprices.org/nevada-impleme…
Washington recently announced three apparently successful bidders to offer the Cascade Select public option plan for plan year 2023, which would offer the plans in 34 of the state's 39 counties. Read our full analysis here publicoptioninstitute.org/feed-wa-implem…
Yesterday, CMS approved CO's application to amend its existing Section 1332 waiver, and therefore allow full implementation of the Colorado Option. Read our analysis here publicoptioninstitute.org/feed-co-implem…
The CO DOI released the draft proposed regulation that would establish the requirements for the Colorado Option standardized health benefit plan publicoptioninstitute.org/feed-co-implem…
The CO DOI released the draft proposed regulation establishing additional carrier requirements to ensure Colorado Option plans offer diverse, culturally responsive provider networks. Our summary can be found here publicoptioninstitute.org/feed-co-implem…
Nevada convened six sessions to solicit feedback from stakeholders on critical design elements of the public option. See our summary for the highlights publicoptioninstitute.org/feed-nevada/su…
In Nov, ME introduced a bill that directs the State to analyze the barriers to affordable health care and coverage and develop recommendations for lawmakers to consider. If the bill is approved, it could serve as a starting for a public option bill publicoptioninstitute.org/feed-maine/tit…
On Jan. 12, CO DOI released a draft premium rate reduction methodology to allow insurance carriers adequate time to implement their standardized plan. Read our summary of the methodology here publicoptioninstitute.org/feed-co-implem…
On January 3, CMS confirmed that CO's Section 1332 waiver amendment was complete. Read our full summary of the amendment application here publicoptioninstitute.org/feed-co-implem…
The CO DOI recently released a draft of the preliminary emergency regulation that would establish the Colorado Option. Beginning 2023, the standardized plan will be offered at the bronze, silver, and gold levels in the individual and small group markets publicoptioninstitute.org/feed-co-implem…
The Washington Health Benefit Exchange released the preliminary draft policy for the new State Premium Assistance Program intended to lower premiums for consumers enrolled in Cascade plans or Cascade Select plans (i.e., public option plans). publicoptioninstitute.org/feed-wa-implem…
Recently, CO released a draft version of the Section 1332 Innovation Waiver Amendment Request to modify the current waiver for the reinsurance program and implement the Colorado Option in the individual and small group markets. publicoptioninstitute.org/feed-co-implem…
Colorado convened its third and fourth Colorado Option Standardized Plan stakeholder meetings on incentivizing high-value care and plan design and cost sharing. Read our main takeaways here publicoptioninstitute.org/feed-co-implem…
Colorado convenes the second Colorado Option Standardized Plan stakeholder meeting to discuss cost-sharing and benefit design. Read our main takeaways here publicoptioninstitute.org/feed-co-implem…

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