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Sun May 12, 2019, 07:30 PM

Washington to offer first 'public option' insurance in US

Source: Associated Press


By TOM JAMES
today

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SEATTLE (AP) — Washington is set to become the first state to enter the private health insurance market with a universally available public option.

A set of tiered public plans will cover standard services and are expected to be up to 10% cheaper than comparable private insurance, thanks in part to savings from a cap on rates paid to providers. But unlike existing government-managed plans, Washington’s public plans are set to be available to all residents regardless of income by 2021.

. . .

The move thrusts Washington into the national debate over the government’s role in health care, with a hybrid model that puts the state to the left of market-only approaches but stops short of a completely public system.

Instead, the state will dictate the terms of the public option plans but hire private insurance companies to administer them, saving the state from having to create a new bureaucracy — and guaranteeing a role for the insurance industry in managing the new public option.



Read more: https://apnews.com/3370e660b151433a95633f21d3f4d85d

6 replies, 1660 views

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Reply Washington to offer first 'public option' insurance in US (Original post)
Judi Lynn May 2019 OP
Hortensis May 2019 #1
erronis May 2019 #2
DeminPennswoods May 2019 #3
BlueWI May 2019 #4
NOMOGOP May 2019 #5
Merlot May 2019 #6

Response to Judi Lynn (Original post)

Sun May 12, 2019, 07:54 PM

1. Excellent, WA and Gov. Inslee!

This sounds very similar to the public option the ACA was supposed to have and can still be added when we get the senate and house.

The Republicans went nuclear over it, And Lieberman threatened to filibuster to keep the ACA from being passed at all. Of course. Over time more and more people would have chosen the public option until it strongly dominated.

Well, until we pass it federally, hope other states follow Washington’s lead.

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Response to Judi Lynn (Original post)

Sun May 12, 2019, 08:53 PM

2. It's an interesting formula with the pvt. insurers administering the public option

They (private insurers) already do this type of arrangement with a lot of large self-insured employers. It's called ASO - Administrative Support Only.

I don't know how happy the Blues/UNH/others will be to lose the ability to gouge the clients based on denying claims.

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Response to Judi Lynn (Original post)

Sun May 12, 2019, 09:31 PM

3. Sounds like FEHB

OMB puts out a call letter with standard requirements and private insurers respond.

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Response to Judi Lynn (Original post)

Sun May 12, 2019, 09:47 PM

4. Gov. Inslee sets the standard again!

He hasn't put legislating aside in order to campaign.

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Response to Judi Lynn (Original post)

Sun May 12, 2019, 10:40 PM

5. 10% cheaper?

 

It ought to do better than that or it isn't worth doing.

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Response to NOMOGOP (Reply #5)

Mon May 13, 2019, 11:13 AM

6. It's worth doing if the insurance companies can't deny claims

in order to make a profit.

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