Health Insurance Exchanges

[toddoxley]

Does anyone know what the advantage/disadvantage of a state run exchange vs. federal exchange?

 

[Yagents]

Does anyone know what the advantage/disadvantage of a state run exchange vs. federal exchange?

State run - health delivery is local, feds have no idea of the needs of the citizens. The needs of Louisiana are different that AZ. State run exch's definitely get subsidies, federally run subsidies are up to interpretation and are not expressly in the law.

 

[toddoxley]

So, little or no subsidies mean no operational exchange. So if the belief is that the exchanges are bad then why would a state partner with the feds to develop the exchange. I have not heard one piece of information that tells me that the exchange will be " broker" friendly.

With e-health, all the carrier sites and the many individual broker sites why would we need exchanges. There are literally thousands of insurance agents in our state and other states to give information to the public about plans and options and to assist in enrollment. We have exchanges now...

I was told by a very large carrier excutive in our state that the real reason for the exchanges were to allow the federal government to have in place a infrastructure to enroll consumers when the single payor system is inacted, post reform.

 

[Yagents]

So, little or no subsidies mean no operational exchange. So if the belief is that the exchanges are bad then why would a state partner with the feds to develop the exchange. I have not heard one piece of information that tells me that the exchange will be " broker" friendly.

With e-health, all the carrier sites and the many individual broker sites why would we need exchanges. There are literally thousands of insurance agents in our state and other states to give information to the public about plans and options and to assist in enrollment. We have exchanges now...

I was told by a very large carrier excutive in our state that the real reason for the exchanges were to allow the federal government to have in place a infrastructure to enroll consumers when the single payor system is inacted, post reform.

You can view my blog comments on this takeover. Call me at 928252493 if you want insight into the AZ exchange meetings

 

[AllenChicago]

Exchange planning and implemention seems to be in total disarray...

Insurers Get Ready For Exchanges, But Exchanges May Not Be Ready For Them - Kaiser Health News

Americans are supposed to able to begin enrolling in October 2013, just 12 months from now?!?

-ac