Health insurance exchanges and the Affordable Care Act: eight difficult issues
- Collection:
- Health Policy and Services Research
- Contributor(s):
- Jost, Timothy Stoltzfus . Commonwealth Fund.
- Publication:
- [New York, N.Y.] : Commonwealth Fund, [2010]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Choice Behavior Community Participation -- legislation & jurisprudence Financing, Personal Health Benefit Plans, Employee -- organization & administration Health Care Reform -- legislation & jurisprudence Health Care Sector -- organization & administration Insurance Coverage -- economics Insurance Coverage -- legislation & jurisprudence Insurance, Health -- economics Insurance, Health -- legislation & jurisprudence Child Child Health Services -- economics Child Health Services -- legislation & jurisprudence Cost Sharing Eligibility Determination Information Services Medicaid Risk Sharing, Financial -- legislation & jurisprudence Taxes -- legislation & jurisprudence Humans United States United States.
- Genre(s):
- Technical Report
- Abstract:
- The state-level health insurance exchanges to be created under the Affordable Care Act (ACA) are expected to play a major role in the purchase and sale of health insurance when they become fully operational in 2014. This report focuses on eight of the most difficult issues that the states and the federal government face in implementing the exchanges: (1) governance of the exchanges; (2) avoidance of adverse selection; (3) making self-funded plans compatible with exchanges; (4) making exchanges attractive to employers; (5) exchanges' use of their regulatory authority; (6) determining the information that exchanges must make available to consumers and employers; (7) the exchanges' role in making eligibility determinations for premium tax credits and cost-sharing reduction payments and their relationship with public insurance programs; and (8) reducing administrative costs. The report also examines how the ACA handles those issues, and makes concrete recommendations as to how those issues should be addressed.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- NLM Unique ID:
- 101549552 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101549552