Health Insurance Exchanges Under Health Care Reform: Issues in Government and Marketplace Implementation


The health insurance exchanges, or marketplaces, are the centerpiece of the Affordable Care Act’s insurance coverage expansions, set to roll out in January 2014.  Next year, 14 million people are expected to enroll in health plans offered through the marketplaces, rising to 25 million by 2016.  Since the law’s passage in 2010, Timothy Jost and colleagues have been providing timely analysis of the exchange legislation, informing the Department of Health and Human Services’ rule-writing on exchange implementation, and analyzing how six different states created and implemented their exchanges. Whether or not exchanges succeed depends on how the details of exchange design and implementation interact with complex insurance market structures and the behavior of insurers and consumers.  In combination with an extension of their existing grant, the team will use this additional funding to conduct a second round of interviews with state officials and stakeholders in the six states as the exchanges go into operation in 2014.  The additional interviews and information will provide early feedback to regulators and stakeholders on potential pitfalls and weaknesses, enabling policy adjustments at the outset of this historic roll-out.

Grant Details

Grantee Organization:
Washington and Lee University
Principal Investigator:
Timothy Stoltzfus Jost, J.D.
Award Amount:
Approval Date:
June 30, 2013
Related Topics
Health Care Coverage

Forgot Password

An email has been sent to {{email}} with your reset password.

Account was not found. Please go to the login page and enter a new password.

Account was not found. Please try again with a different email address.

There was an error when attempting to send to {{email}}. Please contact an administrator.