One of the key mechanisms for expanding health coverage under the Affordable Care Act is the creation of new state-based health insurance exchanges.
However, more than a dozen states have chosen to forgo developing their own exchanges in favor of adopting a "federally facilitated exchange" run by the Department of Health and Human Services.
The result is that the federal government will now have a major role in the individual and small business insurance markets in at least half the states.
This Health Policy brief explores the issues now arising as the federally facilitated exchanges are being shaped, and was published online on January 31, 2013 in Health Affairs.
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Federally Facilitated Exchanges – what are the issues ahead?