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Health Policy Brief: Federally Facilitated Exchanges
The latest Health Policy Brief  from Health Affairs and the Robert Wood Johnson Foundation explores the issues facing the federal government and the states in the establishment and operation of federally facilitated health insurance exchanges. These are the exchanges that will be created under the Affordable Care Act in states that do not elect to set up their own state-based exchanges, or to create and operate an exchange in partnership with the federal government.
At present, 25 states have opted for a federally facilitated exchange. The result is that the federal government will now have a major role in those states in expanding insurance coverage in the individual and small-group insurance markets.
Topics covered in this brief include:
What’s next? With open enrollment on the exchanges scheduled to begin in October 2013, the federal government faces a tight timetable for planning and implementing federally facilitated exchanges. HHS has also signaled that states will have until the end of 2014 to obtain and use exchange “establishment” grants from the government, so it is possible that some states that initially decided on the partnership or federally facilitated model may ultimately replace those with a state exchange.
About Health Policy Briefs. The Briefs are aimed at policy makers, congressional staffers, and others who need short, jargon-free explanations of health policy basics. The Briefs, which are reviewed by experts in the field, include competing arguments on policy proposals and the relevant research supporting each perspective.
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