A range of health reform strategies can increase coverage and improve affordability, and different approaches can even achieve universal health insurance coverage. What are the trade-offs for households, employers, and governments?
Some states are driven to switch from the HealthCare.gov platform to a full state-based marketplace because of the prospect of cost savings, an improved consumer experience, and regained autonomy over their insurance markets. However, the transition involves risks, including unproven IT systems, skeptical stakeholders, and inconsistent federal policymaking.
In June 2018, Arkansas imposed work requirements as a condition of eligibility on beneficiaries of the state’s Medicaid expansion program. What did stakeholders and people who were either enrolled in Medicaid or who lost coverage say about the implementation and implications of the work requirements?