Health Insurance Exchanges Explained


there a lot of changes happening in
health insurance in the next couple of years and it makes changes are
marketplace’s that will allow consumers to have a choice of affordable options and also served as a port el portal for
eligibility an involvement in public programs and for premium subsidies through tax
credits as well it’s critical to realize they exchanges
are mechanism for obtaining coverage and that is occurring in the context of
much more significant changes in the health insurance market specifically
there will now be an individual mandate to obtain coverage and significant changes in the
marketplace for the individual and small group
market the affordable care act requires that each state how money
exchange and what the federal government has done
is create three different ways that states can make that happen one-way is through the state actually
creating and running its own exchange and those are called st b_-sixteen shes on that end of this pact ram states decide that they really don’t
want to create their only seems and the federal government will come and and do the work of setting up and
running the exchange on be half of this the and its president then there’s also a sort of a hybrid
model which is called the state partnership model whereby this the and uh… federal
government window she ate over what will the state
will play and what role the federal government will play these xd jazz will have a very significant wall
in the state insurance market and that is something that i expected
states to want to have more control over a couple of factors i think have been
significant one is the political environment and the
uncertainty and in other areas it they there it is
really a tremendous amount of planning in effort that needs to go into doing
these successfully and i think there are states that took a
really clear-eyed look at what it would take and decided that they just didn’t have
that level of effort on the research says that would be or
acquired estates were concerned that they wouldn’t common how the timing and uh… and to some extent the
information necessary to be successful there a couple of sort of big buckets of
things that are absolutely critical to success one of them is connectivity one of them is the inflation technology
infrastructure that allows all these different systems and entities to talk to each other in relative real-time to create all of
the flow of information who league needs to go to when in a credible reliable secure way is it that enormous challenge the second area is around consumer
outreach and facilitating consumer decision making to enable those who are enrolling to make informed decisions in line with
their own values and preferences it has the potential to increased
competition increase quality increase efficiency and
make the entire insurance process much more at ease the an accessible for all
kinds of different populations and individuals including all those previously uninsured who now are required to buy coverage it won’t be easy by eight there is id and unprecedented
opportunity who make that happen in in our insurance
marketplace

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