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Enrollment through Health Insurance Exchanges Lagging, but Humming Along In Medicaid in Many States

Nov 4, 2013, 1:22 PM, Posted by Susan Dentzer

Susan Dentzer Susan Dentzer

Amid the attention focused on technology flaws of the nation’s new health insurance exchanges, a happier story has received less attention:  the relative ease with which many Americans newly eligible for an expanded Medicaid program are now enrolling in coverage in many states. There’s a lesson in this story for all of us—that governments at many levels can, and often do, get things right. But sometimes it takes years of effort, policy changes, big dollar investments, and improved know-how to make all the processes work.

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The Exchanges Marathon Begins: Improving Health Care Quality and Lowering Cost

Oct 4, 2013, 4:37 PM, Posted by Susan Dentzer

Peter Lee, director of Covered California Peter Lee, director of Covered California

When the starting gun went off this week for the nation’s health insurance exchanges, millions of Americans began shopping  for coverage. For those running the exchanges, or marketplaces, it was the start of a marathon.

That’s the conclusion that emerged from a Health Reporters’ Roundtable that the foundation sponsored in Washington recently. As top officials overseeing three of the state-based exchanges told reporters, signing people up for health insurance is just one of their tasks. Over time, the officials plan to use the power of their exchanges to help drive broader changes to improve the quality and value of U.S. health care.  

The foundation-funded State Health Reform Assistance Network is providing technical support to 11 states. Two of those states, Maryland and Rhode Island, were represented at the roundtable—the former by its exchange director, Christine Ferguson, and the latter by Maryland’s secretary of health and hygiene, Joshua Sharfstein, who chairs that state exchange’s board. A third state, California, isn’t receiving help from the network, but was represented by Peter Lee, the director of its exchange, Covered California.

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Insurance Exchanges Foster Competition, Consumers Stand to Benefit

Jul 18, 2013, 12:52 PM, Posted by Susan Dentzer

Susan Dentzer
  • Health insurance for many individuals that is cheaper and better than what’s available now.
  • More competition among health insurers than ever before.
  • Partnerships between health plans and providers to deliver care at affordable cost.

These developments sound like the dreams of health reformers that fueled passage of the Affordable Care Act. But they’re proving to be reality now in many states—particularly in the 17 jurisdictions (including the District of Columbia) that are creating state-based health insurance exchanges, or “marketplaces.”

That’s the conclusion that emerges from analyses of the states participating in the Robert Wood Johnson Foundation’s State Reform Assistance Network. Housed at Princeton University’s Woodrow Wilson School, the program provides technical assistance to 11 states implementing coverage expansions under the health reform law.

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