Implementing Health Insurance Exchanges: What Are the Keys to Success?

Award Amount: $299,539
Approval Date: April 13, 2010
Start Date: June 1, 2010
End Date: June 30, 2013
Washington and Lee University
204 West Main Street
Lexington, Virgina 24450
Principal Investigator: Timothy Jost, J.D.

Health insurance exchanges are a central feature of the new health care reform legislation. As regulated marketplaces facilitating health plan selection, insurance exchanges could help achieve several objectives of health reform: creating broad and diverse risk pools, reducing plan administrative costs, increasing transparency in plan choice, regulating premium growth, encouraging innovation in benefit design, and providing a new foothold in the market for innovative plans. Whether the exchanges are effective will depend on several factors, including how they are implemented and how they are received in the marketplace. This project will conduct real-time analysis of exchange implementation, helping state and federal officials, legislators, and regulators understand the reasons for success or failure and ways exchanges might be improved.