ND Blazes Medicaid Expansion Trail
Small-town, rural North Dakota's commercial bidding approach to expanding Medicaid could have big, national implications.
In the two dozen states that have resisted the federal drive to expand the program that funds medical care for the poor, fierce opposition from conservative governors and lawmakers has ground the expansion effort to a crawl.
In several states such as Arkansas and New Hampshire, coalitions of expansion advocates and business-oriented Republican legislators have boosted Medicaid's rolls through the "private option" approach. This enables eligible adults to obtain health coverage through subsidized purchases of commercial health insurance policies on the recently launched individual health exchanges.
North Dakota has developed another approach. It is inviting commercial insurance carriers to bid for the opportunity to provide health coverage for the state's 20,500 newly Medicaid-eligible poor adults. State officials solicited bids last August from carriers that "had to have a policy that covered all the essential health benefits," says Julie Schwab, medical director of the state Department of Human Services.
Two commercial carriers placed bids: Blue Cross Blue Shield of North Dakota, the state's largest health insurer, and Sioux Falls, SD-based Sanford Health. While both bids were accepted, only Sanford decided to move forward with North Dakota's Medicaid expansion effort, which launched enrollment on Jan. 1.
- Top Reason for Nurse Turnover: Managers
- CEO Exchange: Pressure is On to Partner, Drive Quality
- Interventional Radiology No Longer a Sub-Specialty
- Behind the CVS Health Rebranding Strategy
- CMS Pitches Medicare Appeals Deal to Hospitals
- How MA plans to re-enroll 450,000 residents in health insurance
- House OKs Cassidy's 'keep your plan' bill
- Mobile Health Screenings Come Under Scrutiny
- Medicare is pricier in unhealthy states, study says
- Washington, Wall Street Gauge HIX Performance as Open Enrollment Nears