Health Insurance Exchanges: Resources

EXCHANGE 101

This summary explains the purpose and function of Exchanges and how they relate to regulation of the insurance market.

EXCHANGE ADVOCACY

  • Under a grant from the William Penn Foundation, PHLP is working with Community Legal Services, PA Chapter of the American Academy of Pediatrics, PA Partnerships for Children, and Public Citizens for Children and Youth to assure that children fare well in Pennsylvania’s implementation of the Affordable Care Act. For more information, contact Ann Bacharach.Below are materials and information produced from the group’s collaboration.
  • Two reports co-authored by the Pennsylvania Health Law Project with guiding principles for implementing the Affordable Care Act.

IN DEPTH

This brief reviews states’ progress, examines the choices and challenges they face, and summarizes the early trends that have emerged in terms of the governance, structure and financing of the new exchanges. The law requires states to demonstrate sufficient progress towards establishing a “fully operational” exchange by January 2013.

This brief, authored by the Center for Health Care Strategies, looks at the opportunities for linkages between public and private coverage, explaining that such linkages should seek to streamline administration across programs and facilitate seamless transitions between programs for individuals. Continuity of benefits, providers and health plans is is critical to developing a smooth road map for exchanges.

This brief outlines tasks for states to address in order to obtain federal exchange establishment grants and to move forward with the implementation of consumer-friendly state exchanges by 2014. For even more information, visit: www.familiesusa.org/health-reform-central/

This guide describes the requirements in the Affordable Care Act that all the new exchanges must meet. It also outlines activities and choices that states face as they begin to design their new health insurance exchanges, along with various issues that consumer advocates should consider as their states address them.

OTHER STATES

This framework lays out, step by step, how eligibility, enrollment, and retention should work for consumers so that California can meet the expectations of the Affordable Care Act.  While developed for California, this framework can be used in any state to help stakeholders focus on the elements that matter most for consumers.  It is designed to be a practical resource for decision-makers as they work to achieve our shared goal: a simple, efficient door into health care in California that works well for its consumers.

 

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