Acknowledgments

This report was prepared by Master in Public Affairs students at Princeton University’s School of Public and International Affairs. This report incorporates information gathered through students’ independent research, remote interviews conducted between October 11 and November 30, 2020, and invaluable guidance from course instructors Heather Howard and Dan Meuse. The report fulfills the Princeton School of Public and International Affairs’ degree requirements for an immersive policy workshop and associated policy proposal. We are especially grateful to our partners in the Maine Department of Health and Human Services that enabled us to conduct research and make recommendations on this important topic, particularly to Commissioner Jeanne Lambrew, Meg Garratt-Reed, and Kate Fritzsche. We also wish to extend our gratitude to the many policymakers, health professionals, consumer advocates, and subject matter experts who shared their perspectives with us throughout the course of this project. We particularly appreciate their willingness to spend time with us in the midst of the coronavirus pandemic. We hope that this report will contribute to Maine’s potential transition to a state-based marketplace.

Maine Stakeholders

Jeffrey Austin, Maine Hospital Association Mohamud Barre, Maine Access Immigrant Network Dan Cohen, Office for Family Independence Dan Colacino, Maine Association of Health Underwriters Hillary Colcord, Maine Primary Care Association Allison Conroe, Maine Mobile Health Program Stacy Dostie, Maine Association of Health Underwriters Kathryn Ende, Consumers for Affordable Health Care Karynlee Harrington, Maine Health Data Organization Katie Harris, MaineHealth Peter Hayes, Healthcare Purchaser Alliance of Maine Marge Kilkelly, Maine Primary Care Association Kathy Kilrain del Rio, Maine Equal Justice Barbara Leonard, Maine Health Access Foundation Patty Lovell, Western Maine Community Action Kevin Lewis, Community Health Options Sarah Lewis, Maine Access Immigrant Network Steven Michaud, Maine Hospital Association Kristine Ossenfort, Anthem Anthony Pelotte, Office for Family Independence Tom Perrey, Maine Association of Health Underwriters Michelle Probert, Office of MaineCare Services Trish Riley, National Association for State Health Policy Lisa Sockabasin, Wabanaki Public Health Molly Slotznick, Office of MaineCare Services Lisa Talpert, Maine Mobile Health Program Bob Wake, Maine Bureau of Insurance David Winslow, Maine Hospital Association Bill Whitmore, Harvard Pilgrim Ann Woloson, Consumers for Affordable Health Care

External Stakeholders

Emily Brice, Northwest Health Law Associates Stan Dorn, Families USA Tekisha Everette, Health Equity Solutions Michael Miller, Community Catalyst Dustin Palmer, Code for America Kevin Patterson, Connect for Health Colorado Eva Marie Stahl, Community Catalyst Marissa Woltmann, Massachusetts Health Connector