States that want to show that public health insurance is a better deal than the commercial alternative will have to spend some of their own cash and shoulder a fair amount of risk.
Officials at the Centers for Medicare & Medicaid Services talk about the nuts and bolts of how a state "Basic Health Program" could work in two batches of regulations set to appear in the Federal Register.
Drafters of the Patient Protection and Affordable Care Act created the program to win support from health policy specialists who wanted Congress to create a new single-payer program, or true government-run health insurance system.
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