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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Review of the Health Care Climate in Illinois

This September 2011 review was carried out by Deloitte Consulting as background research to support the state of Illinois in the development of its health insurance exchange. (more…)

Ten Considerations for States in Linking Medicaid and the Exchanges

This August 2011 policy brief from the Center for Health Care Strategies is intended to provide early orientation to the principle issues involved. The Center notes that HHS guidance while extensive, allows states flexibility to chart a course that best meets their unique needs. The brief is part of the “State Health Reform Assistance Network: Charting the Road to Coverage” series.

A Profile of Health Insurance Exchange Enrollees

This March 2011 fact sheet from the Kaiser Family Foundation Fact Sheet uses the 2007 Medical Expenditure Panel Survey to simulate a demographic, health status, and health utilization profile of the individuals across the nation expected to obtain health insurance coverage through the Exchanges by 2019.

SHOPping Around: A Roadmap to Setting up Health Care Exchanges for Small Business

This 60-page report was intended to provide guidance for states, policymakers, health reform advocates, and small-business leaders as they began to implement state SHOP exchanges for small business. The fundamental mission of SHOPs is to create a well-functioning health insurance marketplace providing an array of affordable, high-quality health insurance plans for small businesses and their employees. This report, prepared in 2011 by the Center for American Progress and the Small Business Majority, presents an overview of the problems small businesses face in affording health care and addresses the details of the SHOP exchange and how it will help.

Keeping Coverage Continuous: Smoothing the Path between Medicaid and the Exchange

A key challenge for those implementing the reform law is how to manage churning, when people cycle in and out of public programs as their income varies. What approaches are states and the federal government taking to minimize the disruption from churning? Will people be able to keep their provider as they move from Medicaid to private coverage and back? This May 2011 briefing, sponsored by the Alliance for Health Reform and The Commonwealth, addressed these and related questions.

State Health Insurance Exchanges – Status and Governance Issues

This April 2011 report from the Center on Budget and Policy Priorities summarizes its efforts to track the status of state legislation in terms of exchange establishment and governance.

Selecting Plans to Participate in an Exchange

This February 2011 state guide from Families USA is intended to help stakeholders understand what’s involved in selecting plans and how the process can be structured in the best interests of state residents.

Health Insurance Exchange Basics

State health insurance exchanges are a key feature of the Affordable Care Act. This February 2011 issue brief from the National Academy for State Health Policy sets forth the major requirements for exchanges as described in the federal law. These requirements fall into four categories: administration and governance, insurance plan oversight, interactions with consumers, and information transfer and availability.

Flexibility for State-Run Exchanges

This summary, posted at Kaiser Health News in February 2011, describes how state-based health insurance exchanges called for in the Affordable Care Act will give states substantial flexibility to establish exchanges that meet the unique needs of their residents.

Making Health Insurance Cost-Sharing Clear to Consumers

A Consumers Union study of consumers’ initial reactions to the new health insurance disclosure form found that they were able to use it to make hypothetical choices among health plans but also revealed a deep-seated confusion and lack of confidence with respect to health plan cost-sharing. (more…)

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