Commonwealth Fund November 7, 2023
Christine Monahan, Nadia Stovicek, Justin Giovannelli

TOPLINES

State public option–style plans offer states a way to control health care costs, increase plan choices for consumers, and expand access to coverage for underserved populations

By pressing down on provider reimbursement rates and insurer administrative costs, state public option–style health plans can help states control health care costs

Public health insurance plans, or state public option–style plans, offer states a way to contain health care costs, by putting downward pressure on health care prices and insurers’ administrative costs. They also can help states increase plan choices for consumers, expand access to coverage for underserved populations, such as undocumented immigrants, and advance health equity. Public option programs — while not the only mechanism to pursue these goals — are...

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