Active Purchasing for Health Insurance Exchanges

An Analysis of Options

This paper funded by the Robert Wood Johnson Foundation (RWJF), and authored by researchers at Georgetown University, details options states may consider in forming health insurance exchanges. In addition to offering access to subsidized health insurance, state-based exchanges are expected to help organize health insurance markets and promote effective competition among health plans. Policy-makers and stakeholders disagree, however, over whether and exactly how exchanges should act on behalf of individual and small group buyers to demand higher-quality products at more affordable prices.

On June 15, RWJF held a webinar that focused on state health insurance exchanges and their implementation. Heather Howard, director of RWJF’s State Health Reform Assistance Network, moderated the webinar and offered insights about how states are approaching exchanges and other implementation issues. She was joined by Lee Goldberg, director of Health Policy at the National Academy of Social Insurance (NASI), who discussed governance issues surrounding the implementation of health insurance exchanges at the state level, and Sabrina Corlette, research professor at Georgetown University’s Health Policy Institute, who discussed her recent paper about active purchasing. Speakers included:

  • Heather Howard, J.D., director of RWJF’s State Network
  • Sabrina Corlette, J.D., research professor at Georgetown University’s Health Policy Institute
  • Lee Goldberg, J.D., M.A., director of Health Policy at National Academy of Social Insurance