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Health Care Authority Background

Senate Bill 74 directs the Department of Administration to procure a study to determine the feasibility of creating a Health Care Authority (HCA) in Alaska.

The studies focus on identifying opportunities to coordinate plan administration and consolidate purchasing effectiveness for individuals whose health benefits are funded directly or indirectly by the state. This includes State of Alaska retirees and employees, state corporations, University of Alaska employees, school district employees, Medicaid recipients, and political subdivision employees.

The Department engaged several contractors in this effort:

  • PRM Consulting Group (PRM) – Focused on public employee and retiree health plans. Tasked with survey development, data collection, and analysis.
  • Pacific Health Policy Group (PHPG) – Focused on identifying opportunities to align or integrate the Medicaid program. Tasked with providing Medicaid technical assistance and analysis.
  • Mark A. Foster & Associates (MAFA) – Focused on Alaska market analysis. Tasked with providing peer review of analysis and developing purchasing strategies.

These reports address the statutory requirements outline in SB 74 and are intended to begin the conversation and engagement on the difficult discussions of what Alaskans see as the future for publicly funded health care. The opportunities and concepts outlined in the reports would require considerable change in the provision and financing of health benefits, but could also create considerable value. Extensive public discourse, stakeholder engagement, and full legislative buy-in will be required for the state to move forward with any of these recommendations.

The Department hosted a series of webinars to provide an overview of the reports with the contractors. The recorded presentations are posted under Related Links on this page. Comments from the public review and comment period are also posted, under Document Links.