Insurance exchanges under health reform: Six design issues for the states

Health Affairs

Volumn 29, Issue 6, 2010, Pages 1158-1163

  Kingsdale, Jon ^a   Bertko, John ^b  

^a Commonwealth Health Insurance Connector Authority ^*  (United States)

^b BROOKINGS INSTITUTION   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACT; CONSUMER; DECISION MAKING; EMPLOYER; GOVERNMENT REGULATION; HEALTH CARE COST; HEALTH CARE ORGANIZATION; HEALTH CARE PERSONNEL; HEALTH CARE PLANNING; HEALTH CARE POLICY; HEALTH INSURANCE; LAW; LIFESTYLE; LOWEST INCOME GROUP; MARKETING; MEDICARE; PATIENT ADVOCACY; PATIENT CARE; PRIVATE HEALTH INSURANCE; PROTECTION; PUBLIC HEALTH INSURANCE; PUBLIC-PRIVATE PARTNERSHIP; REIMBURSEMENT; RISK ASSESSMENT; SHORT SURVEY; UNITED STATES; ARTICLE; FINANCIAL MANAGEMENT; GOVERNMENT; INSURANCE; LEGAL ASPECT; MEDICAL FEE; ORGANIZATION AND MANAGEMENT; PATIENT; RISK MANAGEMENT;

COMPETITIVE BIDDING; FEES, MEDICAL; HEALTH CARE REFORM; HEALTH CARE SECTOR; INSURANCE BENEFITS; INSURANCE, HEALTH; MEDICALLY UNINSURED; PUBLIC-PRIVATE SECTOR PARTNERSHIPS; RISK SHARING, FINANCIAL; STATE GOVERNMENT; UNITED STATES;

EID: 77956935970     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2010.0390     Document Type: Short Survey

References (6)

1. Senate Finance Committee. Expanding health care coverage: proposals to provide affordable coverage to all Americans. Washington (DC): Senate Finance Committee; 2009 May 14. p. 4-7.
2. Connecticut Business and Industry Association [home page on the Internet]. Available from: http://www.cbia.com/home.php
3. Commonwealth Health Insurance Connector Authority [home page on the Internet]. Available from: http://www.mahealthconnector.org
4. For example, carriers insuring 5,000 or more lives in the small-group market are required by law to seek the Health Connector's seal of approval. The availability of public subsidies for low-income, uninsured people through the Connector effectively means that health plans cannot reach this segment of the market through other distribution channels. Switzerland and the Netherlands simply exclude the use of any channel other than the official government exchange.
5. Davis K, Schoen C. Testimony: putting the U.S. health system on a path to high performance. New York (NY): Commonwealth Fund Commission on a High Performance Health System; 2009 Feb. Chart 14.
6. The proposed budget fiscal year 2011 budget supports additional (non-exchange) functions, such as policy making, appeals of the requirement that individuals buy coverage, and public education about health reform.