Healthy Adult Opportunity
State program directors face many complex considerations as they evaluate the Healthy Adult Opportunity 1115 waiver option.
Determining which changes to the healthcare system are best for the United States is a political question. However, actuarial investigation can be essential in understanding the potential financial and risk management implications of a proposal, including whether it is likely to achieve its stated goals. This case study explores the concept of a Medicare Advantage and Part D buy-in option by analyzing potential outcomes under one set of policy and program characteristics.