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Health Reform Issue Brief: Medicaid Premium Assistance Plans

Health Reform Issue Brief: Medicaid Premium Assistance Plans

October 2013
NASTAD

Description

Review of proposals that are implementing Affordable Care Act (ACA) Medicaid expansion to those up to 138% of the federal poverty level by purchasing private health insurance coverage as opposed to providing coverage under Medicaid. 

Brief covers:

  • Premium assistance plan requirements (e.g., cost-effectiveness" compared to Medicaid coverage).
  • Monitoring Medicaid premium assistance plans (considerations for Ryan White and other programs to ensure adequate coverage for vulnerable populations, like cost-sharing and coverage of prescription drugs, which may vary from traditional Medicaid).

 

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