Designing an Exchange: A Toolkit for State Policymakers

by Rebecca Farley on March 3, 2011

The National Academy of Social Insurance has released a toolkit for state policymakers on issues related to designing and implementing a state health insurance exchange. Under health reform, each state must have an “exchange” – or marketplace – for consumers to easily compare and purchase health plans. States are responsible for designing and implementing their own exchanges, and many have already begun the process.

The new toolkit offers information about the health insurance exchange provisions of health reform and outlines key issues in the creation of an exchange. The toolkit covers:

  • Establishment and governance of exchanges;
  • Certification of qualified health plans;
  • Determining eligibility for financial assistance;
  • Adverse selection;
  • Coordinating with state insurance regulators; and more.
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