End of the year exchanges round-up

Discussion in 'Healthcare/Insurance/Govt Healthcare' started by Greenbeard, Jan 2, 2011.

  1. Greenbeard
    Offline

    Greenbeard Gold Member

    Joined:
    Jun 20, 2010
    Messages:
    6,809
    Thanks Received:
    1,200
    Trophy Points:
    200
    Location:
    New England
    Ratings:
    +1,323
    Lots of end-of-the-year news surrounding state health insurance exchanges, as states chart out their first steps.

    California, the first state to pass legislation authorizing an exchange in response to the ACA, is moving ahead with implementing the governance portion of that exchange by starting to fill out the exchange's governing board:


    Colorado, like many states, is still figuring out what design it will go with for its exchange:

    Oregon first authorized the development of a health insurance exchange in their 2009 state reform law and they're hard at work designing it. Though they collected public input on exchange design a few months ago, a few weeks ago they set up a standing outside advisory group to offer input:

    Virginia is moving toward making the difficult initial decision of whether or not to build its own exchange:

    A similar panel in Iowa also recommended proceeding with a state exchange earlier this month:

    Wyoming is also leaning toward establishing its own exchange, though they're early in the decision-making process:

    These examples give a pretty good feel for the spectrum of current progress on state exchanges as 2011 begins. And if you're wondering why exchanges are still years away, presumably this sheds some light on that.
     
  2. Trajan
    Offline

    Trajan conscientia mille testes

    Joined:
    Jun 17, 2010
    Messages:
    29,048
    Thanks Received:
    4,751
    Trophy Points:
    48
    Location:
    The Bay Area Soviet
    Ratings:
    +4,756
    has Maine taken any action?
     
  3. Greenbeard
    Offline

    Greenbeard Gold Member

    Joined:
    Jun 20, 2010
    Messages:
    6,809
    Thanks Received:
    1,200
    Trophy Points:
    200
    Location:
    New England
    Ratings:
    +1,323
    Every state has taken action on exchanges except Minnesota and Alaska (though Minnesota already did background research on implementing an exchange in Minnesota a few years back). Maine has a Health Reform Steering Committee that's been working on initial exchange design issues; they've recommended building a single state-wide exchange serving both individuals and small businesses governed by an outside entity (i.e. not housed in state government). The issue they were having is that the legislature was interested in being part of a multi-state exchange and the executive branch wasn't. With the turnover in government this month, we'll have to see where the new blood takes it.
     
  4. Oddball
    Offline

    Oddball BANNED Supporting Member

    Joined:
    Jan 3, 2009
    Messages:
    41,428
    Thanks Received:
    8,397
    Trophy Points:
    0
    Location:
    Drinking wine, eating cheese, catching rays
    Ratings:
    +8,409
    Well, all that federally mandated technocracy and bureaucracy will be sure to drive down costs! :rolleyes:
     
  5. Mad Scientist
    Offline

    Mad Scientist Deplorable Gold Supporting Member Supporting Member

    Joined:
    Sep 15, 2008
    Messages:
    23,938
    Thanks Received:
    5,211
    Trophy Points:
    270
    Ratings:
    +7,678
    In order for Obama care to be "Deficit Neutral" the gubamint needs to tax you for 14 years but give benefits for only 10. That's why they're "years away".

    I hope this sheds some light on that.
     
    • Thank You! Thank You! x 1
  6. Trajan
    Offline

    Trajan conscientia mille testes

    Joined:
    Jun 17, 2010
    Messages:
    29,048
    Thanks Received:
    4,751
    Trophy Points:
    48
    Location:
    The Bay Area Soviet
    Ratings:
    +4,756
    hummm I heard they just asked for an exemption (Maine did). what does that have to do with this? anything?
     
    • Thank You! Thank You! x 1
  7. Greenbeard
    Offline

    Greenbeard Gold Member

    Joined:
    Jun 20, 2010
    Messages:
    6,809
    Thanks Received:
    1,200
    Trophy Points:
    200
    Location:
    New England
    Ratings:
    +1,323
    No. They asked for a delay of the medical loss ratio requirement because they essentially only have two insurers in the state right now (I've lived in cities with larger populations than the state of Maine) and they're worried the medical loss requirement will cause one of them to leave.

    They're not asking for an exemption from building an exchange. Since the exchanges will have at least two national plans in them, they're expected to bring significantly more competition to Maine's insurance market than it has now. It would be fascinating to see the New England states merge their exchanges but it's not clear there's a will for that.
     
  8. Trajan
    Offline

    Trajan conscientia mille testes

    Joined:
    Jun 17, 2010
    Messages:
    29,048
    Thanks Received:
    4,751
    Trophy Points:
    48
    Location:
    The Bay Area Soviet
    Ratings:
    +4,756
     
  9. Greenbeard
    Offline

    Greenbeard Gold Member

    Joined:
    Jun 20, 2010
    Messages:
    6,809
    Thanks Received:
    1,200
    Trophy Points:
    200
    Location:
    New England
    Ratings:
    +1,323
    They're not asking for an exemption from anything other than the medical loss ratio requirement. That doesn't have anything to do with exchanges.
     
  10. Trajan
    Offline

    Trajan conscientia mille testes

    Joined:
    Jun 17, 2010
    Messages:
    29,048
    Thanks Received:
    4,751
    Trophy Points:
    48
    Location:
    The Bay Area Soviet
    Ratings:
    +4,756
    what could happen if Sibelius (?) says no? whats the downside to saying no for Maine citizens and insureres, the upside to saying yes..?
     

Share This Page