The Next Chapter in Healthcare Reform: Building the Case for a State-Based Public Option for Healthcare Services

Date of Award


Document Type

Undergraduate Capstone Project

Degree Name

Master of Professional Studies

Organizational Unit

University College, Healthcare Management


Healthcare Leadership

First Advisor

Andrea Auxier


Healthcare reform, State actions, Underinsurance


The private insurance/provider model of the U.S. healthcare system is only in existence in the U.S. This model produces higher costs, lower access, and lower rankings in quality parameters than other global models. The Affordable Care Act does not adequately address the issue of underinsurance or provide transparent and comprehensive plans with standardized benefits for many citizens. States are in a unique position to further efforts toward healthcare reform. By using existing empirical data from successful foreign and domestic models, along with primary research from legislators, Colorado has an opportunity to lead the nation in implementing a public-option for healthcare where consumers may obtain services at, or near, the cost of production. State reform efforts should concentrate on overcoming stereotypes, as well as methods to frame the healthcare reform discussion. In order to achieve needed reforms in care delivery to contain costs, efforts should concentrate on primary care, which will allow for better access and population health, and improve the patient healthcare experience.

Publication Statement

Copyright is held by the author. Permanently suppressed.

This document is currently not available here.