Methodology This section describes the analytical approach used to develop the recommendations in this report. We first outline our approach to researching Maine’s health policy landscape and relevant policy options, followed by a discussion of the criteria we use to evaluate them. Finally, we describe how we prioritize policy options within each area using our Decision Matrix.
Research Approach The analysis in this report is driven by interviews with 38 Maine stakeholders performed throughout October and November 2020.i These stakeholders include representatives from health care providers, advocacy groups, and carriers; state health policy experts; and senior officials from key State of Maine departments. While the majority of interviewees were Maine-based, we also consulted several experts from nationally-focused organizations and other states. In our interviews, we discussed the opportunities and challenges that Maine’s potential transition to an SBM could pose
to increasing coverage, reducing complexity, and improving affordability. Based on analysis of these stakeholder interviews and further background research, we then developed potential recommendations. Using the following criteria aimed at evaluating consumer impact and state feasibility, we rank the priority of each recommendation within each policy area.
Consumer Impact Affordability: What is this recommendation’s impact on premiums, deductibles, and other forms of cost-sharing for consumers? Complexity: How does this recommendation impact the ease with which consumers can navigate accessing health coverage? Coverage: How does this recommendation impact uninsured levels, and do impacts vary across different populations? If applicable, how does it affect wheth-
i Normally, these interviews would have been conducted in person in Maine, but due to the coronavirus pandemic they were conducted over Zoom.
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