A new Health Policy Brief from Health Affairs and the Robert Wood Johnson Foundation explores the issues facing the federal government and the states in the establishment and operation of federally facilitated health insurance exchanges. These are the exchanges that will be created under the Affordable Care Act in states that do not elect to set up their own state-based exchanges, or to create and operate an exchange in partnership with the federal government.
At present, 25 states have opted for a federally facilitated exchange. The result is that the federal government will now have a major role in those states in expanding insurance coverage in the individual and small-group insurance markets.
Topics covered in this brief include challenges in setting up the federally facilitated exchanges, the potential of adverse selection, and what comes next, with enrollment scheduled to begin in October.
Read the complete policy brief on the Health Affairs website.