Health insurance purchasing exchanges have been proposed as a possible means of making insurance more accessible, increasing competition among health plans, and promoting choice of insurer. Health insurance exchanges are entities that organize the market for health insurance by connecting small businesses and individuals into larger pools that spread the risk for insurance companies.
Health insurance exchanges implicate many design and policy issues regardless of whether they are implemented by the federal government, state governments, or by individuals; but there are no absolute legal bars to their establishment.
This white paper was created by the O'Neill Institute for National and Global Health Law at Georgetown University and is part of the Legal Solutions in Health Reform project. The project aims to identify practical, workable solutions to the legal issues that may arise in any upcoming federal health reform debate.
Keywords: Policy reform ideas, Access, Delivery systems, Mandates, Legal issues/reforms, Federalism, Regulation, State models for national reforms, Cost reform ideas, Administrative cost/structure, Competition, Employer contributions, Plan competition, Subsidies, Play-or-pay, Market reform ideas, Insurance exchange