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A Look at the Private Option in Arkansas

Appendix A: Interview Guide

High Level Questions

  1. Please describe your role in designing/implementing/monitoring the private option.
  2. In general, what has been the impact of the private option on key stakeholders?
  3. What do you consider the key successes and challenges of the design and implementation of the private option?

Overall Impact of Private Option on Consumers

  1. In general, how are the consumers who gained coverage through the private option faring?
  2. How well do consumers understand the private option?

Eligibility and Enrollment

  1. How well is the eligibility and enrollment process working for consumers?
  2. How do private option consumers fare at renewal? What is working well and what needs to be improved?
  3. How well is the process for identifying medically frail individuals working?

Implementation/Operational Issues

  1. In general, what have been the major implementation and operational challenges that the state has faced?
  2. How have the Medicaid agency and Arkansas Insurance Department worked together to implement the private option?

Implications for the Marketplace

  1. How has the private option affected the Marketplace?
  2. How have issuers reacted to inclusion of newly eligible adults in Marketplace plans?

Financing Issues

  1. What do you see as the major financing opportunities/challenges created by the private option?
  2. What has been the impact of the recent report on the state savings generated by the private option?

Future of the Private Option

  1. In general, what are your thoughts on the future of the private option?
  2. Process, structure, expected outcomes from new commission for post-2016? What recommendations are being put forward?
  3. What do you think of the strategies in place for evaluating the private option?
  4. If you were speaking to another state that was considering a Marketplace premium assistance approach, what advice would you give?
Issue Brief

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