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.
The company primarily responsible for operating Maryland's health insurance exchange has agreed to repay the state and federal government $45 million to settle claims that it mishandled its duties, the Maryland attorney general's office announced Tuesday.
Despite the Supreme Court's ruling to uphold a key provision of the Affordable Care Act, funding cuts have led some states to reduce their efforts to help people sign up for health insurance through either federal or state-based exchanges.
If the U.S. Supreme Court determines in the King v. Burwell case that the federal subsidies are illegal, there are still options available for the 34 states that rely on the federal insurance exchange, former senior officials from the U.S. Department of Health & Human Services write in a new analysis.
Federally-operated health insurance exchanges retained more enrollees from 2014 than state-run exchanges, while also signing up a higher percentage of new consumers this year compared to state-run marketplaces, according to a new analysis from Avalere Health.
At least 15 states will continue operating their own health insurance exchange with no assistance from the federal government. Those state leaders, however, must determine how to fund their marketplaces.
It's possible that HealthCare.gov will become the only exchange in the country--more than half of the states use the federal exchange while others are likely to opt in soon, reported Politico.
Oregon is now the first state to completely replace its health insurance exchange by switching to the federal version.
States expanding Medicaid while also operating their own health insurance exchanges experienced a larger drop in the uninsured rate compared to states that ignored these Affordable Care Act measures, a new Gallup poll shows.
As state officials work to improve the process for next year's open enrollment period, Connect for Health Chief Operating Officer Lindy Hinman highlighted some of the state-based exchange's best practices for enrolling consumers, USA Today reported.