Your Source for Health Reform

Topic: Health Insurance Exchange



A key concept of the reform model adopted by the ACA is that states would have centralized markets offering a variety of qualified health plans to consumers, along the lines established in Massachusetts in 2006. Although the term was common during the campaign to enact reform, the exchanges are now more often called health insurance marketplaces.


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Implementation of Health Insurance Exchanges in States

This August 2012 presentation presented the results of the Center on Budget and Policy Priorities’ ongoing tracking of state implementation and exchange decisions.

Illinois DOI Health Benefits Exchange RFP

The Request for Proposal issued in December 2010 by the state Department of Insurance for a Health Benefits Exchange. (more…)

General Guidance on Federally-facilitated Exchanges

This May 2012 HHS document outlines the department’s approach to implementing a federally-facilitated health insurance exchange in any state where a state-based exchange is not operating.

Letter to Gov. Quinn: Executive Order on the Illinois Marketplace

The Health Care Justice Campaign’s sign-on letter urging Illinois Governor Pat Quinn to issue an executive order to establish a health insurance exchange in the state. The page includes a list of signatories.

Health Benefit Exchanges: An Implementation Timeline for States

This July 2010 document from AcademyHealth and the Robert Wood Johnson Foundation compiles all federal deadlines for the implementation of statewide health insurance exchanges to provide a reference timeline for states.

Building a Consumer-Oriented Health Insurance Exchange

This February 2012 report from the National Academy for State Health Policy examines three main areas where consumers intersect with the exchange: ways consumers participate in exchange governance; consumer input into exchange policy; and early planning for the consumer-serving functions.

Illinois Exchange Funding and Certification Timeline

This detailed outline of the upcoming deadlines for the implementation of a state health insurance exchange in Illinois was put together in February 2012 by the Sargent Shriver National Center on Poverty Law.

Building a Relationship between Medicaid, the Exchange and the Individual Insurance Market

This January 2012 report examines the practical and conceptual factors that underlie the federal/state relationship between Medicaid and the State Health Benefits Exchanges. Released by the Study Panel on Health Insurance Exchanges created under the Patient Protection and Affordable Care Act.

State Exchange Implementation Questions and Answers

This November 2011 set of questions and answered was released by CMS in anticipation of state legislative sessions beginning in January. Answers in this fact sheet were meant to help advance state policy development for exchanges.

Illinois Exchange Strategic and Operational Needs Assessment

This September 2011 report was created to inform the process of Exchange planning in Illinois. It provides background on the federal law, analyzes the state’s needs in setting up an Exchange, addresses mandatory Exchange services and functions, projects Exchange start-up and operating costs, and provides insights on policy decisions the state will need to make in designing its Exchange, coordinating it with the Illinois insurance market, and integrating it with existing Illinois public programs.

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