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Implementing the Affordable Care Act: key design decisions for state-based exchanges

Author(s):
Dash, Sarah, author
Lucia, Kevin W., author
Keith, Katie, author
Monahan, Christine, author
Contributor(s):
Commonwealth Fund, issuing body.
Publication:
New York, N.Y. : Commonwealth Fund, 2013
Language(s):
English
Format:
Text
Subject(s):
Health Care Reform -- legislation & jurisprudence
Health Insurance Exchanges -- organization & administration
Insurance, Health -- legislation & jurisprudence
Forecasting
Health Insurance Exchanges -- trends
Quality Control
State Government
Humans
United States
United States.
Genre(s):
Technical Report
Abstract:
The Affordable Care Act requires the establishment of new health insurance marketplaces--known as exchanges--in every state by October 1, 2013. This report examines key design decisions made by the 17 states and the District of Columbia that chose to establish a state-based exchange. The analysis finds that states made significant progress in structuring their exchanges, with states varying in their design decisions. Many states expect to exceed some federal requirements--to collect and display quality data, for instance--for 2014. These findings suggest that states capitalized on the flexibility provided by the Affordable Care Act to tailor their exchanges to their unique needs and made decisions with an eye towards outcomes, such as enrollment, consumer experience, and sustainability. These findings also suggest that states' initial decisions will inform future exchange implementation and that states will adjust their decisions while continuing to adopt innovative approaches to accomplish policy goals.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (28 pages))
Illustrations:
Illustrations
NLM Unique ID:
101613387 (See catalog record)
Author(s):
Dash, Sarah, author
Lucia, Kevin W., author
Keith, Katie, author
Monahan, Christine, author
Contributor(s):
Commonwealth Fund, issuing body.
Publication:
New York, N.Y. : Commonwealth Fund, 2013
Language(s):
English
Format:
Text
Subject(s):
Health Care Reform -- legislation & jurisprudence
Health Insurance Exchanges -- organization & administration
Insurance, Health -- legislation & jurisprudence
Forecasting
Health Insurance Exchanges -- trends
Quality Control
State Government
Humans
United States
United States.
Genre(s):
Technical Report
Abstract:
The Affordable Care Act requires the establishment of new health insurance marketplaces--known as exchanges--in every state by October 1, 2013. This report examines key design decisions made by the 17 states and the District of Columbia that chose to establish a state-based exchange. The analysis finds that states made significant progress in structuring their exchanges, with states varying in their design decisions. Many states expect to exceed some federal requirements--to collect and display quality data, for instance--for 2014. These findings suggest that states capitalized on the flexibility provided by the Affordable Care Act to tailor their exchanges to their unique needs and made decisions with an eye towards outcomes, such as enrollment, consumer experience, and sustainability. These findings also suggest that states' initial decisions will inform future exchange implementation and that states will adjust their decisions while continuing to adopt innovative approaches to accomplish policy goals.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (28 pages))
Illustrations:
Illustrations
NLM Unique ID:
101613387 (See catalog record)