Struggling with high costs and lower-than-expected enrollment, state-based health insurance exchanges increasingly consider turning over their operations to the feds or partnering with other states.
Now that the Supreme Court ruled that federal subsidies are here to stay, many states operating their own health insurance exchanges are considering switching to the federal marketplace, reported The New York Times.
States that find themselves in need of an insurance exchange in the wake of the King v. Burwell verdict may be in luck thanks to a cloud-based version of Healthcare.gov.
The financial challenges facing state health insurance exchanges are no secret--and a recent Commonwealth Fund report spells out the struggles each state faces in its efforts to achieve financial sustainability.
Better investments in consumer-facing technology will help state exchanges attract customers and increase the likelihood of sustainability.
Add Covered California to the growing list of state insurance exchange facing financial difficulties in the first year that Affordable Care Act exchanges are supposed to be self-sufficient.
The Hawaii Health Connector will shut down operations on Sept. 30. The exchange site will cease new enrollment this week, discontinue its outreach programs at the end of May and transfer its technology assets to the state by Sept. 30.
The majority of voters in the 34 states using Healthcare.gov do not want to see state exchanges if the Supreme Court ruling in King v. Burwell says that the federal exchange cannot sell subsidized plans, according to a recent poll by the Foundation for Government Accountability.
Supreme Court Justice Anthony Kennedy told lawmakers Monday during a House Appropriations subcommittee hearing that justices should not worry potential Congressional drama when they interpret statutes. While Kennedy did not allude to or even mention the King v. Burwell case heard at the beginning of March, his comments left room for interpretation.
The Affordable Care Act's short-term impact on employer-sponsored health insurance has been minimal, but that could very well change over time.