Medicaid

Democrats and the "public option" options

Illustration of democratic donkey wearing stethoscope and medical mask
Illustration:Rebecca Zisser/Axios

The Medicare for All debate is often defined as a single-payer system versus a public option that preserves a role for private insurance — but there are big differences among the public option plans that the 2020 Democrats have proposed.

Why it matters: These differences impact enrollees' pocketbooks, the burden on taxpayers and the amount of disruption a public option would have on the existing system.

Tennessee block grant plan faces uphill battle

Illustration of hand with gavel breaking a red cross symbol
Illustration: Sarah Grillo/Axios

Tennessee's proposal to convert its state Medicaid financing into a block grant could become a landmark restructuring of the program.

The big picture: We don't yet know whether the Trump administration will approve the proposal, whether it'll hold up in court or what outcome it'd have on enrollees — but advocates are warning it‘s probably going to lead to benefit cuts.