Insurance Exchanges

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Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges

Dec 2012

This final Blueprint includes the declaration letter and application form which must be submitted by a state that elects to operate a state-based or partnership exchange


Request for Proposal: IV&V Project for IES and HIX

Dec 2012

Illinois Department of Healthcare and Family Services has released a Request for Proposal (RFP) in order to secure the services of a vendor to provide Independent Verification and Validation (IV&V) services associated with two separate implementation projects: the Integrated Eligibility System (IES) and Health Insurance Exchange (HIX).


Proposed Rule: Standards Related to Essential Health Benefits, Actuarial Value, and Accreditation

Dec 2012

In this brief, Manatt Health Solutions assesses the proposed rules that will determine the benefits and costs of plans that will be offered through health insurance exchanges (Qualified Health Plans or QHPs) and for many plans sold outside of exchanges starting in 2014.


Request for Information Seeks Public Comment Regarding Health Plan Quality Management in Exchanges

Dec 2012

Manatt Health Solutions has prepared a summary of the Department of Health and Human Services' Request for Information that identifies the quality-related provisions of the Affordable Care Act (ACA) pertaining to exchanges and solicits public comment on 15 questions.


HHS Proposes Payment Model, Rules for Insurers Designed to Improve Affordability of Health Insurance in Exchanges

Dec 2012

This brief reports on the key provisions of HHS's Notice of Benefit and Payment Parameters for 2014. This proposed rule covers topics including the federal risk adjustment model, reinsurance parameters, cost-sharing reduction payment methodology, and user fees for insurers offering QHPs in federal exchanges.


Office of Personnel Management Releases Proposed Rules to Govern Selection and Operation of Multi-State Plans Under the ACA

Dec 2012

On November 30 the U.S. Office of Personnel Management (OPM) released its proposed rules for the Multi-State Plan Program (MSPP) of the Affordable Care Act (ACA). This brief prepared by Manatt Health Solutions provides an overview of the key provisions of the proposed rule.


Employers’ Use of Health Insurance Exchanges: Lessons from Massachusetts

Oct 2012

Mark A. Hall, J.D., Wake Forest University, a professor of law and public health in the Division of Public Health Sciences at Wake Forest University Medical School, is completing a qualitative investigation of employers’ use of the Massachusetts Connector in order to inform states and the federal government about best strategies for the design and operation of new small-group health insurance exchanges and market regulations.


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

Sep 2012

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.


New York State Regional Advisory Committees

Sep 2012

New York State's Executive Order 42 requires the state's Health Benefit Exchange to convene regional advisory committees to provide advice and make recommendations.

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