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Health Insurance Exchanges and the Affordable Care Act: Key Policy Issues

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Topics: Employer-Sponsored Coverage | Health Care Reform | Individual Coverage | Legislation (National) | Legislation (State & Local) | Quality | Spending

On July 15, the Commonwealth Fund released a report examining previous attempts to create health insurance exchanges and outlining 13 key issue areas crucial for overcoming implementation obstacles. The report provides detailed analysis of the provisions in the national health care reform law aimed at addressing exchange implementation.

From the report:

Health insurance exchanges are the centerpiece of the private health insurance reforms of the Patient Protection and Affordable Care Act of 2010 (ACA). If they function as planned, these exchanges will expand health insurance coverage, improve the quality of such coverage and perhaps of health care itself, and reduce costs. Previous attempts at creating health insurance exchanges, however, produced only mixed results. This report identifies the earlier attempts’ problems, enumerates the key issues that are critical for overcoming those problems, analyzes in detail the ACA’s provisions addressing these issues, and discusses further policy options.

Full report: Health Insurance Exchanges and the Affordable Care Act: Key Policy Issues (PDF | 200 KB) exit disclaimer small icon

The Commonwealth Fund. (2010). Health insurance exchanges and the Affordable Care Act: key policy issues. Jost, T.S.


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