More States Consider Public Option in Bid to Lower Costs

With a nationwide public option now looking unlikely under President Joe Biden, an increasing number of states are trying to implement their own government-sponsored alternative to commercial insurance in a bid to lower rising costs.

Colorado almost passed a public option, and Connecticut’s leaders are taking a hard look at creating their own. Meanwhile, a committee in Nevada’s legislature is debating the merits of implementing a public insurance option that sets a target of reducing average premium costs by 15% within five years and would be available starting in 2026 (HPW 5/7/21, p 7). Although payers and providers have successfully headed off Colorado’s public option proposal, and may do so elsewhere, there is increasing pressure at the state level across the country to act on health care costs.

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Peter Johnson

Peter Johnson

Peter has worked as a journalist since 2011 and has covered health care since 2020. At AIS Health, Peter covers trends in finance, business and policy that affect the health insurance and pharma sectors. For Health Plan Weekly, he covers all aspects of the U.S. health insurance sector, including employer-sponsored insurance, Medicaid managed care, Medicare Advantage and the Affordable Care Act individual marketplaces. In Radar on Drug Benefits, Peter covers the operations of (and conflicts between) pharmacy benefit managers and pharmaceutical manufacturers, with a particular focus on pricing dynamics and market access. Before joining AIS Health, Peter covered transportation, public safety and local government for various outlets in Seattle, his hometown and current place of residence. He graduated with a B.A. from Colby College.

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