Insurance exchanges under health reform: six design issues for the States.

The Patient Protection and Affordable Care Act depends on new, state-based exchanges to make health insurance readily available to certain segments of the population. One such segment is the lower-income uninsured, who can qualify for subsidized coverage only through an exchange. Other segments are...

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Publicado en:Health Affairs Vol. 29; no. 6; pp. 1158 - 1164
Autores principales: Kingsdale J, Bertko J
Formato: Journal Article
Publicado: Health Affairs Publishing, LLC Jun2010
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Health Affairs Publishing, LLC
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        atl: Insurance exchanges under health reform: six design issues for the States.
      aug:
        au:
          Kingsdale J
          Bertko J
        affil: Commonwealth Health Insurance Connector Authority, Boston, Massachusetts, USA. kingphil@comcast.net
      sug:
        subj:
          Economic Competition Methods
          Health Care Reform Legislation and Jurisprudence
          Health Insurance Exchanges
          Organizational Structure Methods
          Authority
          Collaboration
          Consumer Satisfaction
          Decision Making
          Fees and Charges
          Financing, Government
          Government Regulations
          Health Services Accessibility
          Insurance Benefits
          Marketing Methods
          Medically Uninsured
          Patient Safety
          Private Sector
          Program Implementation
          Public Sector
          Risk Management Methods
          Trust
          United States
      ab: The Patient Protection and Affordable Care Act depends on new, state-based exchanges to make health insurance readily available to certain segments of the population. One such segment is the lower-income uninsured, who can qualify for subsidized coverage only through an exchange. Other segments are unsubsidized individuals and small employers, who may choose to buy coverage inside or outside of an exchange. Although the law provides some guidance in structuring these new exchanges, it leaves many key decisions to the states. Successfully implementing exchanges will require public-private partnerships, expertise in insurance operations and marketing, and a series of strategic decisions. We review the half-dozen most important design issues.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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