Implementing Health Insurance Exchanges

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States' Establishment of Health Insurance Exchanges

Author : Fredrik C. Lewis
Publisher : Nova Science Publishers
ISBN 13 : 9781628085754
Total Pages : 0 pages
Book Rating : 4.0/5 (857 download)

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Book Synopsis States' Establishment of Health Insurance Exchanges by : Fredrik C. Lewis

Download or read book States' Establishment of Health Insurance Exchanges written by Fredrik C. Lewis and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: A central provision of The Patient Protection and Affordable Care Act (PPACA) requires the establishment of exchanges in each state, on-line marketplaces through which eligible individuals and small business employers can compare and select health insurance coverage from participating health plans. Exchanges are to begin enrolment by 1 October 2013, with coverage to commence 1 January 2014. States have some flexibility with respect to exchanges by choosing to establish and operate an exchange themselves (ie: state-based), or by ceding this authority to HHS (ie: federally facilitated). States may also choose to enter into a partnership with HHS whereby HHS establishes the exchange and the state assists with operating various functions. According to HHS, 18 states will establish a state-based exchange, while 25 will have a federally facilitated exchange. Seven states will partner with HHS. This book examines the states' responsibilities for establishing exchanges, the actions selected states have taken, and the challenges they have encountered.

Health Insurance Exchanges

Author : Christian Forrest
Publisher : Nova Science Publishers
ISBN 13 : 9781634638982
Total Pages : 0 pages
Book Rating : 4.6/5 (389 download)

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Book Synopsis Health Insurance Exchanges by : Christian Forrest

Download or read book Health Insurance Exchanges written by Christian Forrest and published by Nova Science Publishers. This book was released on 2015-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: PPACA required by 1 January 2014, the establishment in each state of health insurance exchanges -- marketplaces where eligible individuals and small businesses can compare and select among insurance plans. Issuer participation, including the number of plans these issuers offer, is a key factor in the extent of consumer choice offered by the exchanges. The United States Government Accountability Office (GAO) was asked to examine the number and types of issuers participating in both the individual and small-business exchanges beginning in 2014, as well as how this compared with issuer participation in the individual and small-group markets prior to the exchanges. In this book, GAO describes the extent to which issuers that previously offered health plans in the individual and small-group markets participated in the exchanges in 2014; and the issuers that participated in 2014 exchanges and the health plans they offered. This book also describes Small Business Health Options Programs (SHOPs) functionality, enrollment, plan availability, and premiums; and stakeholders' views on key factors that have affected current SHOP enrollment or may affect future enrollment growth.

Implementing Health Insurance Exchanges

Author : Claire McAndrew
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (674 download)

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Book Synopsis Implementing Health Insurance Exchanges by : Claire McAndrew

Download or read book Implementing Health Insurance Exchanges written by Claire McAndrew and published by . This book was released on 2010 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide describes the requirements in the Affordable Care Act that all the new exchanges must meet. It then 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.

States' Establishment of Health Insurance Exchanges

Author : Fredrik C. Lewis
Publisher : Novinka Books
ISBN 13 : 9781628085761
Total Pages : 105 pages
Book Rating : 4.0/5 (857 download)

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Book Synopsis States' Establishment of Health Insurance Exchanges by : Fredrik C. Lewis

Download or read book States' Establishment of Health Insurance Exchanges written by Fredrik C. Lewis and published by Novinka Books. This book was released on 2014-05-14 with total page 105 pages. Available in PDF, EPUB and Kindle. Book excerpt: A central provision of The Patient Protection and Affordable Care Act (PPACA) requires the establishment of exchanges in each state, online marketplaces through which eligible individuals and small business employers can compare and select health insurance coverage from participating health plans. Exchanges are to begin enrollment by October 1, 2013, with coverage to commence January 1, 2014. States have some flexibility with respect to exchanges by choosing to establish and operate an exchange themselves (i.e., state-based), or by ceding this authority to HHS (i.e., federally facilitated). States may also choose to enter into a partnership with HHS whereby HHS establishes the exchange and the state assists with operating various functions. According to HHS, 18 states will establish a state-based exchange, while 25 will have a federally facilitated exchange. Seven states will partner with HHS. This book examines the states' responsibilities for establishing exchanges, the actions selected states have taken, and the challenges they have encountered.

Health Insurance Exchanges

Author : Suzanne M. Kirchhoff
Publisher : CreateSpace
ISBN 13 : 9781508723165
Total Pages : 36 pages
Book Rating : 4.7/5 (231 download)

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Book Synopsis Health Insurance Exchanges by : Suzanne M. Kirchhoff

Download or read book Health Insurance Exchanges written by Suzanne M. Kirchhoff and published by CreateSpace. This book was released on 2015-06-26 with total page 36 pages. Available in PDF, EPUB and Kindle. Book excerpt: The 2010 Patient Protection and Affordable Care Act (ACA, P.L. 111-148) allows certain individuals and small businesses to buy qualified health insurance through state exchanges. The exchanges are not themselves insurers, but rather are special marketplaces where insurance firms may sell health policies that meet set, federal guidelines. As of July 2014, 14 states and the District of Columbia had secured HHS approval to create and run their own exchanges, 7 to enter into partnership exchanges, 29 to have federally facilitated exchanges, and two to have state-based SHOP/federally facilitated individual exchanges. An estimated 25 million individuals are expected to secure coverage through the exchanges by 2024.

Health Insurance Exchanges and the Assistance Role of Navigators

Author : Wallace V. Bremer
Publisher : Nova Science Publishers
ISBN 13 : 9781629486147
Total Pages : 0 pages
Book Rating : 4.4/5 (861 download)

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Book Synopsis Health Insurance Exchanges and the Assistance Role of Navigators by : Wallace V. Bremer

Download or read book Health Insurance Exchanges and the Assistance Role of Navigators written by Wallace V. Bremer and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fundamental purpose of a health insurance exchange is to provide a structured marketplace for the sale and purchase of health insurance. The authority and responsibilities of an exchange may vary, depending on statutory or other requirements for its establishment and structure. The Patient Protection and Affordable Care Act requires health insurance exchanges to be established in every state by January 1, 2014. The ACA provides certain requirements for the establishment of exchanges, while leaving other choices to be made by the states. Qualified individuals and small businesses will be able to purchase private health insurance through exchanges. Issuers selling health insurance plans through an exchange will have to follow certain rules, such as meeting the private market reform requirements in the ACA. While the fundamental purpose of the exchanges will be to facilitate the offer and purchase of health insurance, nothing in the ACA prohibits qualified individuals, qualified employers, and insurance carriers from participating in the health insurance market outside of exchanges. This book outlines the required minimum functions of exchanges, and explains how exchanges are expected to be established and administered under the ACA. The coverage offered through exchanges is discussed, and the book concludes with a discussion of how exchanges will interact with selected other ACA provisions.

Health Insurance Exchanges 36 Success Secrets - 36 Most Asked Questions on Health Insurance Exchanges - What You Need to Know

Author : Melissa Gregory
Publisher : Emereo Publishing
ISBN 13 : 9781488862649
Total Pages : 58 pages
Book Rating : 4.8/5 (626 download)

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Book Synopsis Health Insurance Exchanges 36 Success Secrets - 36 Most Asked Questions on Health Insurance Exchanges - What You Need to Know by : Melissa Gregory

Download or read book Health Insurance Exchanges 36 Success Secrets - 36 Most Asked Questions on Health Insurance Exchanges - What You Need to Know written by Melissa Gregory and published by Emereo Publishing. This book was released on 2014-10-25 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Infused with fresh, new Health Insurance Exchanges energy. There has never been a Health Insurance Exchanges Guide like this. It contains 36 answers, much more than you can imagine; comprehensive answers and extensive details and references, with insights that have never before been offered in print. Get the information you need--fast! This all-embracing guide offers a thorough view of key knowledge and detailed insight. This Guide introduces what you want to know about Health Insurance Exchanges. A quick look inside of some of the subjects covered: Affordable Care Act - Insurance exchanges and the individual mandate, Illinois Health Benefits Exchange - Background, Health insurance exchange - First week of operation, Romneycare, Health insurance coverage in the United States, Health insurance exchange - History, Health insurance exchange - Subsidies, Health insurance coverage in the United States - Estimates of the number uninsured, Patient Protection and Affordable Care Act - Insurance exchanges and the individual mandate, New Mexico Health Insurance Exchange - Background, Health care in the United States - Reform, Medicaid expansion - Overview of provisions, United States federal government shutdown of 2013 - End of shutdown and temporary debt limit suspension, Military Health System - Coverage gaps, Patient Protection and Affordable Care Act - Overview of provisions, Annual enrollment, Medicaid expansion - Change in number of uninsured, Provisions of the Patient Protection and Affordable Care Act - Effective January 1, 2014, Public health insurance option - History, HealthSource RI - Background, US government shutdown of 2013, Health insurance in the United States - Reform, Health care reform - United States, Provisions of the Patient Protection and Affordable Care Act - Effective January 1, 2017, Cover Oregon - Background, Public health insurance option - Alternative plans, and much more...

Health Insurance Exchanges, Premium Tax Credits and Changes to Health Plans

Author : Elliot Carpenter
Publisher : Nova Snova
ISBN 13 : 9781536173741
Total Pages : 254 pages
Book Rating : 4.1/5 (737 download)

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Book Synopsis Health Insurance Exchanges, Premium Tax Credits and Changes to Health Plans by : Elliot Carpenter

Download or read book Health Insurance Exchanges, Premium Tax Credits and Changes to Health Plans written by Elliot Carpenter and published by Nova Snova. This book was released on 2020-03-03 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since 2014, millions of individuals have purchased coverage through the health insurance exchanges established under Patient Protection and Affordable Care Act (PPACA). PPACA altered the individual health insurance market by setting federal standards for coverage and subsidizing exchange coverage for certain low-income individuals. In the first 5 years of exchanges, issuers have moved in and out of the market and increased premiums, but little is known about issuers' claims costs or the factors driving their business decisions. Chapter 1 examines (1) claims costs of issuers participating in exchanges, and (2) factors driving selected issuers' changes in exchange participation, premiums, and plan design. GAO reviewed data from nine issuers participating in five states, which were selected to represent a range in size, tax status, and exchange participation. During open enrollment, eligible returning consumers may re-enroll in their existing health insurance exchange plan or choose a different plan. Those who do not actively enroll in a plan may be automatically re-enrolled into a plan. Chapter 2 examines 1) the extent to which plans identified as benchmark plans remained the same plans from year to year, and how premiums for benchmark plans changed; 2) the proportion of exchange consumers who were automatically re-enrolled into the same or similar plans, and how these proportions compared to those for consumers who actively re-enrolled, and 3) the extent to which consumers' financial responsibility for premiums changed for those who were automatically re-enrolled compared to those who actively re-enrolled. Chapter 3 discussed the amendments to title XIX of the Social Security Act to ensure health insurance coverage continuity for former foster youth. Certain individuals without access to subsidized health insurance coverage may be eligible for premium tax credits, as established under the Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended). The dollar amount of the premium credit varies from individual to individual, based on a formula specified in statute. Individuals who are eligible for the premium credit, however, generally are still required to contribute some amount toward the purchase of health insurance as described in chapter 4. During the summer of 2018, the Trump Administration issued final rules governing coverage offered through association health plans (AHPs) and short-term, limited-duration insurance. Chapter 5 describes how the Congressional Budget Office and the staff of the Joint Committee on Taxation (JCT) analyzed the new rules and determined how those rules would affect the agencies' projections of the number of people who obtain health insurance and the costs of federal subsidies for that coverage.

Health Insurance Exchanges Under the Affordable Care Act

Author : Edward J. Volpicelli
Publisher : Nova Science Publishers
ISBN 13 : 9781624173677
Total Pages : 0 pages
Book Rating : 4.1/5 (736 download)

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Book Synopsis Health Insurance Exchanges Under the Affordable Care Act by : Edward J. Volpicelli

Download or read book Health Insurance Exchanges Under the Affordable Care Act written by Edward J. Volpicelli and published by Nova Science Publishers. This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fundamental purpose of a health insurance exchange is to provide a structured marketplace for the sale and purchase of health insurance. The authority and responsibilities of an exchange may vary, depending on statutory or other requirements for its establishment and structure. The Patient Protection and Affordable Care Act (ACA) requires health insurance exchanges to be established in every state by January 1, 2014. ACA provides certain requirements for the establishment of exchanges, while leaving other choices to be made by the states. This book outlines the required minimum functions of exchanges, and explains how exchanges are expected to be established and administered under ACA. The coverage offered through exchanges is discussed, as are how the exchanges will interact with selected other ACA provisions.

Best Practices for Implementing Competitive Markets in State-based Health Insurance Exchanges

Author : Jessica Altman
Publisher :
ISBN 13 :
Total Pages : 41 pages
Book Rating : 4.:/5 (914 download)

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Book Synopsis Best Practices for Implementing Competitive Markets in State-based Health Insurance Exchanges by : Jessica Altman

Download or read book Best Practices for Implementing Competitive Markets in State-based Health Insurance Exchanges written by Jessica Altman and published by . This book was released on 2015 with total page 41 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Small Business Health Options Program (Shop) Exchange

Author : Congressional Research Congressional Research Service
Publisher : CreateSpace
ISBN 13 : 9781503089754
Total Pages : 24 pages
Book Rating : 4.0/5 (897 download)

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Book Synopsis Small Business Health Options Program (Shop) Exchange by : Congressional Research Congressional Research Service

Download or read book Small Business Health Options Program (Shop) Exchange written by Congressional Research Congressional Research Service and published by CreateSpace. This book was released on 2014-10-30 with total page 24 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) includes a number of provisions intended to improve access to health insurance coverage. Among these are provisions that apply to the small group market to address perceived problems in the market, including low offer rates among smaller employers and the sometimes prohibitive cost of health plans available in the small group market. The small business health option program (SHOP) exchanges are among the ACA provisions directed at the small group market. SHOP exchanges are marketplaces where private health insurance issuers sell health insurance plans to small employers. All health plans available through SHOP exchanges must meet certain federally required criteria, such as offering a standardized package of benefits. Certain small employers may be eligible to receive tax credits toward the cost of coverage if they obtain coverage through a SHOP exchange. A SHOP exchange is currently in operation in every state; some are administered by states, while others are administered in part or in entirety by the Department of Health and Human Services (HHS). ACA and its implementing regulations include some prescriptive requirements for the establishment and operation of SHOP exchanges. Although these requirements often apply uniformly to all SHOP exchanges, in some instances that may not be the case. For example, some requirements apply only to SHOP exchanges administered by HHS and not to SHOP exchanges administered by states. When ACA and regulations are not prescriptive, decisions about the establishment and operation of SHOP exchanges are left to a state or the entity administering the SHOP exchange (e.g., HHS). As a result, not all SHOP exchanges share the same features or similarly implement shared features. This report describes certain features of SHOP exchanges, such as employer eligibility, methods for selecting health plans offered through SHOP exchanges, and how health insurance agents and brokers interact with SHOP exchanges. Each description includes information about how the feature is implemented in SHOP exchanges administered by states and those administered in part or in entirety by HHS. Each description also includes information about the timing of implementation. The report concludes with a discussion about the current and future place of SHOP exchanges in the broader context of the private health insurance market.

Implementing Health Insurance Exchanges

Author : Elisabeth Rodman
Publisher :
ISBN 13 :
Total Pages : 23 pages
Book Rating : 4.:/5 (73 download)

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Book Synopsis Implementing Health Insurance Exchanges by : Elisabeth Rodman

Download or read book Implementing Health Insurance Exchanges written by Elisabeth Rodman and published by . This book was released on 2011 with total page 23 pages. Available in PDF, EPUB and Kindle. Book excerpt: One of the most important provisions in the health care law is the creation of competitive health insurance marketplaces, known as exchanges. Each state must have their exchange up and running by January 1, 2014, but in order to ensure proper implementation states should begin the planning process now. Families USA developed an issue brief called "Implementing Health Insurance Exchanges" to help your state in creating its exchange model.

Plan Generosity in Health Insurance Exchanges

Author : Courtney Yarbrough
Publisher :
ISBN 13 :
Total Pages : 0 pages
Book Rating : 4.:/5 (137 download)

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Book Synopsis Plan Generosity in Health Insurance Exchanges by : Courtney Yarbrough

Download or read book Plan Generosity in Health Insurance Exchanges written by Courtney Yarbrough and published by . This book was released on 2015 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The landmark United States health care reform law, the Affordable Care Act, contained the seeds of a natural experiment in policy implementation. The law envisioned the creation of online marketplaces that would offer affordable health insurance plans to consumers. It intended each state to develop its own exchange but stipulated that the federal government would create exchanges if states opted not to do so. In 2014, 27 federal, 16 state, and 7 partnership exchanges launched. I use the variation in implementation across states to test whether a top-down or bottom-up framework more closely explains the observed outcomes. The study examines if state, federal, or partnership exchanges were most effective at offering generous plans based on premiums, deductibles, and copayments. The results unambiguously indicate that state exchanges were most successful. The findings align closely with the bottom-up implementation perspective, which focuses on the influence of discretion at lower-levels of implementation hierarchies.

Health Insurance

Author : Government Accountability Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781974242276
Total Pages : 38 pages
Book Rating : 4.2/5 (422 download)

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Book Synopsis Health Insurance by : Government Accountability Office

Download or read book Health Insurance written by Government Accountability Office and published by Createspace Independent Publishing Platform. This book was released on 2017-08-08 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Why GAO Did This Study A central provision of PPACA requires the establishment of exchanges in each state-online marketplaces through which eligible individuals and small business employers can compare and select health insurance coverage from participating health plans. Exchanges are to begin enrollment by October 1, 2013, with coverage to commence January 1, 2014. States have some flexibility with respect to exchanges by choosing to establish and operate an exchange themselves (i.e., state-based), or by ceding this authority to HHS (i.e., federally facilitated). States may also choose to enter into a partnership with HHS whereby HHS establishes the exchange and the state assists with operating various functions. According to HHS, 18 states will establish a state-based exchange, while 26 will have a federally facilitated exchange. Seven states will partner with HHS. GAO was asked to report on (1) states' responsibilities for establishing exchanges, and (2) actions selected states have taken to establish exchanges and challenges they have encountered. To do this work, GAO reviewed PPACA provisions and HHS implementing regulations and guidance. GAO also conducted semistructured interviews with state officials in the District of Columbia, Iowa, Minnesota, Nevada, New York, Oregon, and Rhode Island. For this review, GAO refers to the District of Columbia as a state. GAO selected these states based on several criteria, such as a 3-year average of states"

Health Insurance

Author : United States Government Account Office
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781983744068
Total Pages : 40 pages
Book Rating : 4.7/5 (44 download)

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Book Synopsis Health Insurance by : United States Government Account Office

Download or read book Health Insurance written by United States Government Account Office and published by Createspace Independent Publishing Platform. This book was released on 2018-01-11 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health Insurance: Seven States' Actions to Establish Exchanges Under the Patient Protection and Affordable Care Act

Overview of Health Insurance Exchanges

Author : Namrata K. Uberoi
Publisher :
ISBN 13 :
Total Pages : 12 pages
Book Rating : 4.:/5 (962 download)

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Book Synopsis Overview of Health Insurance Exchanges by : Namrata K. Uberoi

Download or read book Overview of Health Insurance Exchanges written by Namrata K. Uberoi and published by . This book was released on 2016 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) requires health insurance exchanges to be established in every state. Exchanges are marketplaces where individuals and small businesses can shop for and purchase private health insurance coverage. States must have two types of exchanges: an individual exchange and a small business health options program (SHOP) exchange. Exchanges may be established either by the state itself as a state-based exchange (SBE) or by the Secretary of Health and Human Services (HHS) as a federally-facilitated exchange (FFE). In states with FFEs, the exchange may be operated solely by the federal government or in conjunction with the state. Persons who obtain coverage through the individual exchange may be eligible for financial assistance from the federal government. The financial assistance in the individual exchanges is available in two forms: premium tax credits and cost-sharing subsidies. Small businesses that use the SHOP exchange may be eligible for small business health insurance tax credits. The tax credits assist small businesses with the cost of providing health insurance coverage to employees. The ACA generally requires that health insurance plans offered through an exchange are Qualified Health Plans (QHPs). Typically in order to be a certified as a QHP, a plan must offer the essential health benefits, comply with cost-sharing limits, and meet certain market reforms. Exchanges may also offer other types of health insurance plans such as catastrophic and dental-only plans. This report provides an overview of the various components of the health insurance exchanges. The report includes summary information about how exchanges are structured, the intended consumers for health insurance exchange plans, and consumer assistance available in the exchanges, as specified in the ACA. The report also describes the availability of financial assistance for certain exchange consumers and small businesses and outlines the range of plans offered through exchanges. Moreover, the report provides a brief summary of the implementation and operation of exchanges since 2014.

Patient Protection and Affordable Care Act

Author : U.s. Government Accountability Office
Publisher :
ISBN 13 : 9781974243464
Total Pages : 38 pages
Book Rating : 4.2/5 (434 download)

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Book Synopsis Patient Protection and Affordable Care Act by : U.s. Government Accountability Office

Download or read book Patient Protection and Affordable Care Act written by U.s. Government Accountability Office and published by . This book was released on 2017-08-04 with total page 38 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Why GAO Did This StudyThe Patient Protection and Affordable Care Act (PPACA) requires SHOPs-exchanges or marketplaces where small employers can shop for health coverage for their employees-to be established in all states. PPACA also requires similar exchanges to be established for individuals. CMS oversees the establishment of the SHOPs, approving states to operate one or establishing and operating one itself in states that will not do so. Enrollment is to begin October 2013, with coverage effective January 2014, although a key requirement related to employee choice was deferred for 1 year. GAO was asked to examine federal and state readiness to establish the SHOPs. In this report, GAO describes (1) the roles of the federal government and states in establishing SHOPs and (2) the status of actions taken and planned by the federal government and states in preparing to establish SHOPs.GAO reviewed CMS regulations and guidance on the roles of CMS and states in establishing both SHOPs and individual exchanges, as progress establishing the two exchanges is related. GAO reviewed CMS planning documents used to track the progress of key activities to be conducted by CMS to establish FF-SHOPs and FFEs. GAO also reviewed target completion dates for key activities CMS established for states and obtained updates from CMS on state progress. GAO interviewed CMS officials and relied largely on documentation from CMS-including"