by Paul N. Van de Water
Even as a number of states challenge the health reform law (the Affordable Care Act, or ACA) in court, virtually every state has begun deciding how to implement a key part of it: creating state-based exchanges that will give individuals and small businesses a choice of coverage options and promote competition among insurance companies. A study panel of the National Academy of Social Insurance released a toolkit last week to help states design these exchanges to offer affordable and accessible coverage.
As members of the panel, Center board member Dick Nathan and I have written a brief paper outlining the issues involved in designing a governance structure for an exchange.
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