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Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues

Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues. Timothy Stoltzfus Jost, J.D. Robert L. Willett Family Professor of Law, Washington and Lee University School of Law Commonwealth Fund Webinar: Health Insurance Exchanges and the Affordable Care Act of 2010

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Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues

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  1. Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues Timothy Stoltzfus Jost, J.D. Robert L. Willett Family Professor of Law, Washington and Lee University School of Law Commonwealth Fund Webinar: Health Insurance Exchanges and the Affordable Care Act of 2010 November 4, 2010

  2. Eight Difficult Issues for HHS and States • How should the exchanges be governed? State entity or non-profit? • How should adverse selection against exchange and among plans sold in exchange be further deterred – what are options for states and HHS? • Opening the exchanges to large employers or not? What are the key considerations for states and how should federal government reduce risk to the exchanges from self-insured and large employers? • How can the exchanges be made to work well for employers to encourage their participation?

  3. Eight Difficult Issues for HHS and States • Exchanges must certify qualified plans – how should they exercise their regulatory role in this regard? Allow all plans to participate or restrict participation to high value plans? Standardize plans beyond ACA? • Exchanges must provide information to consumers to facilitate informed choice about health plans – how should the exchanges meet this responsibility? • How should exchanges ensure expedient and continuous enrollment of those eligible for Medicaid/CHIP and premium/cost-sharing credits? • How might exchanges reduce their own administrative costs and those of their users, and how will they finance their activities?

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