Health Reform: Designing a Marketplace

The ACA has created a Health Insurance Marketplace (Marketplace) in every state, which offers individuals and small businesses the opportunity to shop from an array of affordable, comprehensive health insurance plans.  For those states that opted to operate a State-based Marketplace (SBM) or State Partnership Model (SPM), the ACA provides significant flexibility in the design and structure of the Marketplace; hundreds of policy and operational decisions had to be addressed during the Marketplace implementation process. CBPP has evaluated SBM and SPM states across a number of these Marketplace design questions and compiled the information in this interactive tool.