Establishing the Technology Infrastructure for Health Insurance Exchanges Under the Affordable Care Act

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This report, a product of a NASI project funded by the Robert Wood Johnson Foundation, examines the work and lessons learned from “Early Innovator” and other advanced states as they gear up for the changes brought on by health care reform. Based on interviews with policy and technology leaders, five themes and takeaways arose as guidelines:

  1. Agreeing upon a common vision, strategy, and plan for IT development is essential for meeting fast-approaching ACA deadlines;
  2. There is a need for careful assessment of a state’s internal and external IT resources;
  3. Integration of policy and technology between an Exchange and a state’s Medicaid program is a complicated and pressing challenge;
  4. Leveraging federal resources, reusing technologies developed by other states and federal agencies, and participating in multi-state collaboratives may accelerate development, and help minimize operational costs; and
  5. Proceeding with development – despite federal and state policy, technology, and political uncertainties – is necessary in order to meet aggressive federal implementation deadlines.

Access the report here.


Resource Details

Date: Sep 2012
Author: Michael Tutty and Jay Himmelstein