Commonwealth Fund March 21, 2018
Topines
- Federal actions have made it harder for states to manage their own health insurance marketplaces
- Despite an uncertain policy environment, state-run marketplaces have managed to reduce consumer confusion and stabilize health insurer participation
Abstract
- Issue: Sixteen states and the District of Columbia manage their own health insurance marketplaces under the Affordable Care Act. These states, which were broadly supportive of health reform, chose to run their marketplaces to exert greater control over their insurance markets and tailor the portals to suit local needs. Though federal policy changes and political uncertainty around the ACA in 2017 have posed challenges across the country, states that operate their own marketplaces had greater flexibility than others to respond.
- Goal:...
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