A recent American Medical News
article highlighted the heavy role federally facilitated exchanges will have
now that states have made their decisions on creating exchanges.
Health plans must soon decide whether to participate in public exchanges.
To date, 25 states have opted for HHS to run their exchange, and you would
think this would streamline operational challenges for health plans. But
this is not necessarily true. It’s not clear how much of a role states will
have in these federally facilitated exchanges. From decisions on approving
“qualified” health plans to adhering to state insurance regulations, HHS may
allow states to have more input into the federal facilitated exchanges.
But for everything we do know about federally facilitated exchanges, there are
many unanswered questions. And that, in itself, is adding another layer of
complexity as health plans navigate their state exchange strategy and
make decisions about their participation.
Anita Nair-Hartman
Vice President, Market Planning and Strategy
Several healthcare features linked to public exchanges may impact how health insurance plans conduct business. http://www.healthcaretownhall.com/?p=6362
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