Federally-Facilitated Exchanges and the Continuum of State Options

The National Academy of Social Insurance (NASI) released a report that explores the three ways states can comply with the Affordable Care Act requirement of establishing a health insurance exchange in their state:

1. Establishing one on their own;
2. Defaulting to a federal exchange; or
3. Entering into partnerships with the federal government to perform some of the exchange functions. 

The report evaluates these considerations and eventual implications associated with each option to help states determine which model may work best for the unique needs of their residents.