N Engl J Med. 2014 Jan 15. [Epub ahead of print]
After the False Start - What Can We Expect from the New Health Insurance Marketplaces?
Author information
- From the Wakely Consulting Group, Boston.
Abstract
Health insurance reform was conceived as a way of improving consumer choice, and under the Affordable Care Act (ACA), the year 2014 should have provided a test of how best to do so. Instead, the flawed launch of the exchanges in most of the country will test the memory of voters and determine the electoral costs of having made it harder for Americans to buy (or keep) coverage. The first lesson from the rollout was thus entirely unintended: implementation counts. Once the initial problems are corrected, the exchanges may still fulfill their promise, and it's worth remembering what that is.
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