Fierce Healthcare June 18, 2020
A new study found that Medicaid managed care insurers’ business models are the reason their plans have become a dominant force in the Affordable Care Act’s (ACA’s) insurance exchanges.
The study, from think tank Urban Institute and the Robert Wood Johnson Foundation, examined why Medicaid insurers have expanded their footprint in ACA exchanges in recent years.
This year, Medicaid plans offered ACA coverage in 255 out of 502 rating regions.
“Prior research indicates that the presence of a Medicaid insurer in the marketplace tends to be associated with lower premiums and smaller premium increases,” the analysis said.
Researchers spoke with stakeholders in six states with one or more Medicaid insurers in 2020, including state departments of insurance, hospital associations, primary...
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