Am J Public Health. 2013 Jun 13. [Epub ahead of print]
State Politics and the Creation of Health Insurance Exchanges.
Source
The authors are with the Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor.
Abstract
Health insurance exchanges are a key component of the Affordable Care Act. Each exchange faces the challenge of minimizing friction with existing policies, coordinating churn between programs, and maximizing take-up. State-run exchanges would likely be better positioned to address these issues than a federally run exchange, yet only one third of states chose this path. Policymakers must ensure that their exchange-whether state or federally run-succeeds. Whether this happens will greatly depend on the political dynamics in each state. (Am J Public Health. Published online ahead of print June 13,2013: e1-e3. doi:10.2105/AJPH.2013.301429).
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