prospect.org — Among the issues faced by the states in health-care reform, none will be more important than the design of health-insurance exchanges, which will play a key role in expanding coverage and bringing down its cost. In that battle, the states won, though they do not yet seem to have realized it.
The different health reform bills pending in Congress represent quite different understandings of what a health insurance exchange is, what it does, how it is organized and how it functions. These differences are likely to affect significantly the extent to which the exchanges accomplish their goals and avoid the problems that have afflicted earlier attempts at creating and operating exchanges. The exchanges should operate at the federal level, as the House health care reform bill provides. more »
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