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Designing a Marketplace that Works: Steps to Affordable Coverage

Friday, October 22, 2010

The Affordable Care Act (ACA) enacted in March 2010 calls for the establishment of state health insurance exchanges - marketplaces through which individuals and small businesses can purchase affordable insurance. These exchanges must begin operation by January 1, 2014.

Between now and then, both federal and state officials have many decisions to make and many steps to take. States may design and set up their own exchange or opt to let the federal government administer an exchange in their state. They may choose to create two exchanges, one each for the individual and small business insurance markets. They may choose to collaborate with neighboring states to develop regional exchanges. Recently, California became the first state to sign into law the establishment of a state-run health insurance exchange in response to the ACA. Massachusetts and Utah already operate statewide exchanges.

What is the timeline for developing health insurance exchanges? Will states be able to meet the deadline? What happens if a state chooses not to create its own exchange? What are the challenges and opportunities for states and the federal government associated with implementing these provisions of the law?

To answer these and related questions, the Alliance for Health Reform and The Commonwealth Fund sponsored an October 22 briefing. Panelists were: Joel Ario, HHS Office of Consumer Information and Insurance Oversight; Timothy Jost, Washington and Lee University; Michael McRaith, director of the Illinois Department of Insurance; and Terry Gardiner, Small Business Majority. Ed Howard of the Alliance and Sara Collins of The Commonwealth Fund co-moderated.


 Sara Collins, The Commonwealth Fund, Moderator
 Ed Howard, Alliance for Health Reform, Moderator
 Joel Ario, HHS Office of Consumer Information and Insurance Oversight, Speaker
 Timothy Jost, Washigton and Lee Univ. Law School, Speaker
 Michael McRaith, Illinois Department of Insurance, Speaker
 Terry Gardiner, Small Business Majority, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Transcript, Event Summary and/or Webcast and Podcast

Transcript: Transcript (Word Document), 10/22/2010
Event Summary: Event Summary (Word Document), 11/2/2010
Full Webcast/Podcast: Designing a Marketplace that Works: Steps to Affordable Coverage

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Sara Collins (PowerPoint), 10/20/2010
Timothy Jost (PowerPoint), 10/20/2010
Terry Gardiner (PowerPoint), 10/22/2010

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Word Document), , 10/20/2010
Materials List (Word Document), , 10/20/2010
Source List (Word Document), , 10/20/2010
Event Summary (Word Document), , 11/2/2010
Speaker Biographies (Word Document), , 10/22/2010

Offsite Materials (briefing documents saved on other websites)

AHIP Voices Concerns With Oversight Rules for Insurance Exchanges, California Healthline, 10/20/2010
Health Insurance Exchanges: Key Issues for State Implementation (Adobe Acrobat PDF),Robert Wood Johnson Foundation , 10/20/2010
Brokers Wonder if Health Insurance Exchanges Will Help or Hinder Their Client Base, Commission Rates, AIS's Health Business Daily, 10/20/2010
Health Insurance Exchanges – Making the Markets Work, New England Journal of Medicine, 10/20/2010
Consumer Power: Five Lessons from Utah’s Health Care Reform (Adobe Acrobat PDF),Heritage Foundation, 10/20/2010
How to Reform Obamacare Starting Now, The Wall Street Journal, 10/20/2010
Trading Up, Not Trading In: California Passes a Landmark Health Benefit Exchange Law, The New Health Dialogue, 10/20/2010
California’s Health Benefit Exchange Legislation (Adobe Acrobat PDF),Insure the Uninsured Project, 10/20/2010
NM Considers Models for Health Insurance Exchange, The New Mexico Independent, 10/20/2010
Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues, The Commonwealth Fund\, 10/20/2010
- Author: Timothy Jost
Health Insurance Exchanges and the Affordable Care Act: Key Policy Issues, The Commonwealth Fund, 10/20/2010
- Author: Timothy Jost
Health Insurance Exchanges in Health Care Reform: Legal and Policy Issues, The Commonwealth Fund, 10/20/2010
- Author: Timothy Jost
Health Insurance Exchanges: Overcoming Implementation Barriers, The Commonwealth Fund, 10/20/2010
- Author: Timothy Jost
Health Insurance Exchanges Under the Affordable Care Act: Key Policy Issues, The Commonwealth Fund, 10/20/2010
- Author: Timothy Jost
Explaining Health Reform: Building Enrollment Systems that Meet the Expectations of the Affordable Care Act (Adobe Acrobat PDF),Kaiser Family Foundation , 10/20/2010
Explaining Health Reform: Eligibility and Enrollment? Processes For Medicaid, CHIP, and Subsidies in the Exchanges (Adobe Acrobat PDF),Kaiser Family Foundation , 10/20/2010
Health Insurance Exchanges – Key Link in a Better Value Chain, New England Journal of Medicine, 10/20/2010
- Author: Jon Kingsdale
Insurance Exchanges Under Health Reform: Six Design Issues for the States, Health Affairs, 10/20/2010
- Author: Jon Kingsdale
Grants Awarded for State Health Insurance Exchanges, Los Angeles Time, 10/20/2010
- Author: Noam Levey
American Health Benefit Exchange Model Act (Adobe Acrobat PDF),National Association of Insurance Commissioners, 10/20/2010
California Blazes a Trail for Exchange Implementation, The Commonwealth Fund, 10/20/2010
- Author: Jane Norman
How Will the Affordable Care Act Affect Employee Health Coverage at Small Businesses? (Adobe Acrobat PDF),Rand Corporation , 10/20/2010
Establishing State Health Exchanges: Implications for Health Insurance Enrollment, Spending and Small Businesses (Adobe Acrobat PDF),Rand Health and US Department of Labor, 10/20/2010
What’s in Healthcare Reform for Small Businesses? (Adobe Acrobat PDF),Small Business Majority, 10/20/2010
The Creation of American Health Benefit Exchanges (Adobe Acrobat PDF),AARP , 10/20/2010
- Author: Shelly Ann Sinclair
Health Insurance Exchanges: Implementation and Data Considerations for State and Existing Models for Comparison (Adobe Acrobat PDF),State Health Access Data Assistance Center, 10/20/2010


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