Health Insurance Exchanges – How Economic and Financial Modeling Can Support State Implementation

Source: Julie Sonier and Patrick Holland, Academy Health/State Coverage Initiatives/SHADAC, November 2010

From the Robert Wood Johnson Foundation summary:
This report from the Robert Wood Johnson Foundation-funded State Coverage Initiatives (SCI) and State Health Access Data Assistance Center (SHADAC) programs provides an overview of how states may most effectively conduct these analyses through a modeling approach. The report’s authors outline questions states will need to answer about the potential size of the exchange, how many of those eligible to purchase coverage through an exchange likely will, the size limit for small businesses participating in the exchange and more. They also stress that in order to achieve the greatest benefit from modeling, states must plan ahead for the key questions that will need to be answered by the analysis, carefully weigh tradeoffs associated with different modeling approaches and data sources, and perhaps most importantly, remain realistic about such an analysis’ limitations. Although many other considerations will no doubt play a role in the implementation process, the authors argue that the modeling approach is an important tool for deciding how to set up an exchange that not only meets ACA requirements, but also state goals and budgets.

Leave a Reply