Final Rule on Health Insurance Purchasing Exchanges Released
The US Department of Health and Human Services has released a final rule on the Establishment of the Exchanges and Qualified Health Plans. The rule outlines the standards for a state to establish an exchange and allows them to set up exchange in its own way: as a non-profit entity established by the state, as an independent public agency, or as part of an existing state agency. In addition, a state can choose to operate its exchange in partnership with other states through a regional exchange, or operate multiple exchanges that cover distinct areas within the state. Any combination of these options can be approved. Exchanges that are run by independent agencies or non-profits must have governance principles, include consumer representation, and that ensure freedom from conflicts of interest and promote ethical and financial disclosure standards. AOTA staff are currently reviewing the rule.
Resources:
CCIIO Affordable Insurance Exchanges
Exchanges Fact Sheets & FAQs
Exchanges Regulations and Guidance
AOTA Bulletin for States: Essential Health Benefits
[AOTA Fact Sheet on Exchanges – Coming Soon!]
