HIX 2.0 provides information on the variation in implementation of the Affordable Care Act across all 50 states and tracks each state’s key implementation decisions.
HIX 2.0 reports provide insight into what health insurance exchange features are most effective and what factors explain state variation.
These data were collected from primary sources such as statutes and other regulatory decisions, but also from official gubernatorial press releases and other reliable news sources to ensure that the quickly changing nature of exchange implementation is being addressed. Datasets will be posted regularly on this site as they are completed, and completed datasets will be updated, and in some cases combined, as implementation moves forward. The date the datasets were last updated will be specified on each dataset's webpage.
- Insurance Market Characteristics: Infrastructures and interplay between various health insurance markets, including the various exchanges.
- Adjusted Community Ratings: The extent that states implement ACA rules regarding premium rates.
- Geographic Scope of Rate-Setting Areas: As above, but specific to the geographic differences in premiums.
- Brokers: Role of insurance brokers and agents on the exchanges.
- Determination of Essential Health Benefits: Variation in amount and kind of EHBs offered in a state.
- Financial Management and Operation of the Exchanges: Variation in budgets and oversight of those budgets between exchanges.
- Qualified Health Plan Selection and Certification: Substantive content of plans, as well as the variation between plans within and among the states.
- Risk Adjustment Strategy: How states account for their exchange enrollees' health status and health spending.
- Small Business Insurance Health Option Program: How participation rules on the small business exchanges vary between states, as well as their relationship to the individual exchanges.