This report is one of a series papers focusing on ACA implementation issues uncovered in Alabama, Colorado, Maryland, Michigan, Minnesota, New Mexico, New York, Oregon, Rhode Island and Virginia.
This report from the Robert Wood Johnson Foundation, part of its Affordable Care Act (ACA) Implementation—Monitoring and Tracking series, examines the status of health insurance exchange development and design choices in 10 featured states. Under the ACA, each state has the option to develop an exchange, an organized marketplace to purchase health insurance in the small group and nongroup markets. While there are a number of federal regulations with which a state-operated exchange must comply, there is also considerable flexibility in development and design.
- 1. Early Market Reforms
- 2. Plan Participation in Health Insurance Exchanges: Implications for Competition and Choice
- 3. Rate Review: Monitoring State Implementation of the Affordable Care Act in 10 States
- 4. State Progress in Implementing Health Insurance Exchanges: Results from 10 State Analyses
- 5. Progress in Implementing Selected Medicaid Provisions of the Affordable Care Act: A 10-State Analysis
- 6. Will There Be Enough Providers to Meet the Need? Provider Capacity and the ACA
Although progress in implementing exchanges varies considerably across states, policy-makers, stakeholders and consumer advocates have been universally highly engaged in the process.
In interviews, the authors found that a state-run exchange was largely preferable to a federally run one.
There was considerable consensus that the state’s interests would be best served if the exchange could be tailored to the state’s preferences as much as possible.
ACA Implementation Monitoring and Tracking: Cross-Cutting Issues
These reports examine health reform implementation trends across the 10 study states, and provide timely updates for policy-makers and stakeholders.View the series
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