The total pivot from "a state may pursue premium assistance option without a waiver" to "let's talk about 1115 waivers" is... odd.
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@sarahkliff Ooh, I see how it could be read that way. Waiver-free option (w/choice) seems a little bit like "Medicaid Advantage."@afrakt? -
@onceuponA@sarahkliff@afrakt Difference from MA would be that the private option in MA is still defined benefit. -
@askellyphd@sarahkliff@afrakt Medicaid plans need to include "benchmark equivalent" coverage (EHBs) and some other Medicaid services. -
@onceuponA@sarahkliff@afrakt Re: benchmark equivalent - see para 5 from KFF. http://bit.ly/173z8Tc . gives LOTS of flexibility to states. -
@askellyphd Right, but on a *state* level, EHBs would still make these plans function as defined-benefit more than defined contribution. -
@onceuponA Ah. I see your point. Is the difference with MA then level of competition between plans and requirement to go into private plan?
End of conversation
New conversation -
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