Policymakers must decide how a public option will be administered. Key questions include:
- Will the public option be built upon an existing federal program (such as Medicare or the Federal Employees Health Benefits Program) or a program with an administrative or regulatory role for states (such as Medicaid, CHIP, or marketplace coverage)?
- Should certain public option functions be administered by private entities, such as private health insurers?
- What entity will bear the financial risk and how will risk be pooled or shared?