October 13, 2010: SHADAC has released a new issue brief that will be of interest for states as they work to implement the exchange provisions in the Patient Protection and Affordable Care Act (ACA).
The brief, titled “Health Insurance Exchanges: Implementation and Data Considerations for States and Existing Models for Comparison,” presents key implementation and data considerations for states as they contemplate the creation and role of the insurance exchanges required under the ACA.
Considerations explored in the brief include:
- Exchange scope and objectives
- Market coverage and structure
- Exchange governance
- Exchange role in plan selection
- Benefit options
- Funding
- Rating rules and adjustment for adverse risk selection
In addition, this brief profiles four state exchanges—Massachusetts Health Connector, Utah Health Exchange, Connecticut Business and Industry Association (CBIA) Health Connections, and Washington Health Insurance Partnership (HIP)—launched under state health reform efforts that predated the ACA, presenting them as models for future exchanges.