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Medicaid Expansion Dubbed ‘Rebalancing’ by Oklahoma Lawmakers

A $1.50-per-pack cigarette tax increase will go toward funding a form of Medicaid expansion in Oklahoma—if lawmakers and Gov. Mary Fallin (R) approve the Medicaid Rebalancing Act of 2020 (MRA) this session, scheduled to adjourn on May 27. MRA would move nearly 175,000 members of SoonerCare, the state’s Medicaid program, into private health insurance plans purchased with federal subsidies administered through a revised version of Insure Oklahoma, currently a state-funded premium assistance...

‘Reference Pricing’ Reduces Health Care Spending in California

The California Public Employees’ Retirement System (CalPERS), one of the country’s largest purchasers of employee health coverage, is reducing health care spending through a “reference pricing” policy that encourages beneficiaries to shop for the best provider prices. For certain health care procedures, CalPERS will reimburse its 1.6 million beneficiaries in full for amounts less than or equal to a guideline CalPERS sets, known as a reference price. Beneficiaries pay the remainder, creating an...

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