Health Insurance Exchange

Document Sample
Health Insurance Exchange Powered By Docstoc
					The Patient Protection and Affordable Care Act mandates for the formation
of a state based health insurance exchange. These exchanges will serve as
a regulated insurance marketplace where all the transactions and health
plans will be in accordance to the federal healthcare reforms.Initially
the Exchange will only be open to individuals and small firms where they
can compare, choose and purchase medical coverage at competitive rates.
States that refuse to have an exchange will have access to a multi-state
exchange which will be run by the Department of Health and Human Services
(HHS) and will be funded by federal dollars. Consumer protection, review
of premiums and other rates and other issues related to finance and
regulations will be supervised by the state insurance Commissioners. The
exchange will have annual audits and the finances will be overseen by the
HHS to ensure financial integrity and to take actions to prevent frauds,
scams and abuses.The health insurance exchange will serve as a one stop
shop that fosters choice and competition. The use of the online medium
will ensure that all residents have complete access to the insurance
platform. Apart from being the cheapest, the health plans available on
the exchange will come with some essential benefits that will ensure
primary and comprehensive coverage. Government sponsored health plans
such as Medicare, Medicaid and CHIP will available on the exchange that
will provide stiff competition to the private health plans.The exchange
are also meant to be an ideal place to get the most authentic and
transparent information regarding health insurance. All the information,
definitions, marketing and communication material has to be in a
standardized format. A toll free 24*7 telephone line will ensure that
residents, agents and insurance companies can clear queries whenever they
want. Residents will also have access to information about eligibility
determination for government sponsored plans, tax credits and other
insurance benefits from the federal and the state government. Grants will
also be given to the exchanges to establish and expand health insurance
consumer assistance.For the residents, the exchanges are the best bet to
access the cheapest health plans. Not only the health insurance companies
required to have their cheapest policies on the insurance platform, but
the exchange will also house all the government subsidized plans. Apart
from that, residents purchasing health plans from the insurance exchange
will also be eligible for tax credits. The tax credits are available to
individuals as well as small business firms. However, the amount of
credit will differ. Premium tax credits will be available to those
families up to 400% of the FPL. Sliding scale tax credits will be
available to small firms with 25 employees or fewer and an average annual
wage of $50,000.The idea behind setting up health insurance exchange is
to regulate the market place, increase the competition between companies
and to create a market place where the consumers can get the best value
on their money. Going by basic framework, all these goals seem a real

Shared By: