The Evolving Dynamics of Health Insurance Exchange Implementation

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<p>Since the enactment of the Affordable Care Act, the roles of states and the federal government in establishing health insurance exchanges—marketplaces where people can shop for comprehensive and affordable health plans—have evolved considerably. In a <a href="/blog/2013/evolving-dynamics-health-insurance-exchange-implementation">new blog post,</a> Sarah Dash, Christine Monahan, and Kevin Lucia of the Georgetown University Health Policy Institute explain that the law originally called for just two options: state-run or federally run exchanges. What has emerged, however, is a continuum of options in which states and the federal government share responsibilities for the core exchange functions. </p><p>"The emergence of new models suggests that the federal government has sought to be responsive to states as they have made decisions about their level of involvement in implementing the Affordable Care Act," say the authors. </p>
<p>Visit the <a href="/blog/2013/evolving-dynamics-health-insurance-exchange-implementation">Commonwealth Fund Blog</a> for a comprehensive review of all of the exchange options and where each state falls on the continuum. </p>