A capped-rate policy would limit the payment rates paid by all insurers — not just control rates paid by a public option alone.

Discussion of alternatives to strengthen and improve the Affordable Care Act is heating up as the Biden Administration begins implementing its policies. The Urban Institute analyzed two possible options:

A public option, which is a government-run program providing insurance that could be implemented in the nongroup or both the nongroup and employer markets, would generally set provider payment rates below commercial rates and could reduce government subsidy costs substantially.

Complete your profile to continue reading and get FREE access to BenefitsPRO, part of your ALM digital membership.

Your access to unlimited BenefitsPRO content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Breaking benefits news and analysis, on-site and via our newsletters and custom alerts
  • Educational webcasts, white papers, and ebooks from industry thought leaders
  • Critical converage of the property casualty insurance and financial advisory markets on our other ALM sites, PropertyCasualty360 and ThinkAdvisor
NOT FOR REPRINT

© 2025 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.