About Careers MedBlog Contact us

Health Law Seen in Some States as an Option to Follow Unique Solutions

by Vanessa Jones on June 9, 2014 at 1:33 PM
Font : A-A+

 Health Law Seen in Some States as an Option to Follow Unique Solutions

The affordable health care was intended to create uniformity in health coverage across USA, though states are now making opportunities to follow their own solutions. In states like Vermont USA, the experiments go a step further than the Affordable Care Act, by expanding coverage for the poor. Vermont is seen to have taken interest in the waivers provided by the Affordable Care Act from 2017.

This includes the mandate that majority people are insured or pay a penalty. The state will need to have a plan that will cover a maximum of people - as many as the federal government. People will not have to pay more for fewer benefits - to avail the waiver.


Vermont proposed a single-payer system in which all residents enrolled in a state-run health-insurance program. The first of its kind in the U.S., the program would offer supplemental coverage for people who already have insurance through a job or Medicare, and cover everyone else who would otherwise be in Medicaid, the individual insurance market or uninsured. In addition to the federal waiver, the state needs to reach agreement on how to pay for it.

Maryland, is unique in that it sets hospital prices rather than having them negotiated through individual insurers or set by Medicare. This move is approved by the Centers for Medicaid and Medicare services. Hospitals would be paid a fixed annual sum for a certain population rather than for services rendered. Scott Walker, Gov. of Wisconsin re-shaped the state's Medicaid program- this state already provides Medicaid facilities to a wider income range allowing even those above poverty levels to enroll. Now some of these people qualify for tax credits when they buy health insurance under the Affordable Care Act. Gov. Walker has removed these people from Medicaid as they gain on tax credits and is now enrolling more of the state's lowest income residents under Medicaid.

Several other Republican governors also have grappled with the ACA's implementation, particularly the Medicaid-expansion provision. For some states, particularly those with historically stringent requirements for Medicaid eligibility, the expansion was seen as more than they could afford, so they opted out. The proposals have put federal officials in a tricky position, as they want states to enroll more people under Medicaid and give access to millions of Americans to health covers, while preserving what Medicaid advocates say are key tenets of the program, including its guarantee of assistance to vulnerable Americans.


Hannah Punitha (IRDA Licence Number: 2710062)

Louise Radnofsky, June 2014

Source: Medindia


Recommended Reading

Latest Health Insurance News

Medicaid Telemedicine Coverage Enhances Healthcare Access
The results highlight the positive impact of Medicaid telemedicine coverage and its implications for policymakers.
Uncovering the Differences Between Medicaid Reimbursement for Mental Health
Many states in the United States face shortfall in access to mental health treatment, increasing reimbursement rates for behavioral health services in Medicaid.
Why Do Few Medicaid-Participating Physicians Provide Long-Term Contraception Care?
Medicare beneficiaries face challenges when accessing contraceptive or birth control care, especially long-acting birth control methods.
Medicaid Expansion Decreases Disparities in Preventable Hospital Visits
Medicaid expansion improves access to care and addresses health gaps in the 11 states that have opted against Medicaid expansion.
 Dental Services Use Among Medicare Beneficiaries
: Is Medicare beneficiary to oral health? Following enrollment, traditional Medicare and Advantage beneficiaries used fewer dental services.
View All
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close

Health Law Seen in Some States as an Option to Follow Unique Solutions Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests