RWJF/UI-Multi-State Health Insurance Exchanges

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The ACA allows two or more states to come together and create a health insurance exchange. This brief examines why states might consider a multi-state exchange and the issues surrounding doing so.

The author finds four justifications for creating a multi-state exchange:

  • Administrative economies of scale could be significant
  • Regional exchanges might make sense in large metropolitan areas that cross state boundaries
  • Multi-state exchanges could promote pooling across state lines
  • Multi-state exchanges could create the critical mass of insured persons to stabilize risk pools in low-population states.

Resource Details

Date: Apr 2011
Author: Linda Blumberg