Key Decisions for State-based Exchanges
Most states that have chosen to run their own health insurance marketplaces or exchanges will be running ahead of schedule in the offerings and information they will provide their consumers and small businesses, according to a new study.
The report, done by researchers at Georgetown University's Health Policy Institute, looked at the 17 states and the District of Columbia that have opted to run their own exchanges. (Kansas officials opted to have the federal government run the Kansas exchange.)
They concluded that consumers in those states "will likely have a greater ability to make informed choices regarding their coverage as well as more information about plan quality than what current federal regulations require."
The study, released today, was done for the Commonwealth Fund.
The insurance marketplaces, which are scheduled to begin enrollments Oct. 1 for coverage that starts Jan. 1, 2014, are intended to remedy some shortcomings of the current individual and small-business health insurance markets, including high premiums, lack of choice and inadequate coverage.
The report's authors found that nine of the 17 states plan to display data on quality in their marketplaces in 2014, two years earlier than the federal government requires. And in almost all the states, Small Business Health Options (SHOP) marketplaces will enable companies to offer workers a choice of more than one plan, something not required until 2015. Also, eight states and the District of Columbia have adopted rules that require or provide incentives for insurers to offer plans in the marketplaces.
The full report can be downloaded here.
The Commonwealth Fund website also has an interactive map with information on health insurance marketplaces across the U.S.
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