Health Affairs September 30, 2019
Jonathan Foley Kristi Martin Rob Shriver

Recently the Office of Personnel Management (OPM) decided to discontinue operations of the Multi-State Plan (MSP) Program. The decision came as the program, which provided health insurance through the Affordable Care Act (ACA) health exchanges, had gone from providing coverage to more than 400,000 people in 35 states and the District of Columbia in 2015 to one state this year.

Why didn’t the MSP Program work?

In short, the limits imposed upon the program through its establishing legislation along with the weight given to the positions of state insurance regulators in its implementation prevented the OPM from delivering on the law’s direction to administer the MSP Program in a manner similar to its administration of the Federal Employees...

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Topics: ACA (Affordable Care Act), CMS, Govt Agencies, Insurance, Patient / Consumer, Payer, Provider, Public Exchange, States
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