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Health Insurance Exchanges, Part I: A Fifty-State Moving Target
Wednesday, August 24, 2011
This webinar was brought to you by the Healthcare Reform Educational Task Force (a joint endeavor of the Healthcare Liability and Litigation; Hospitals and Health Systems; In-House Counsel; Medical Staff, Credentialing, and Peer Review; Payors, Plans, and Managed Care; Physician Organizations; Regulation, Accreditation, and Payment; and Teaching Hospitals and Academic Medical Centers Practice Groups); and the Health Information and Technology; and Payors, Plans, and Managed Care Practice Groups.
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On July 15, 2011, the U.S. Department of Health and Human Services (HHS) published its proposed rule outlining minimum standards that states must meet in order to establish and operate their own state-based health insurance exchanges. The concept of the exchanges, or transparent and competitive marketplaces, was introduced in the Patient Protection and Affordable Care Act of 2010. Through the exchanges, individuals and small businesses with up to fifty employees may compare options and purchase private health insurance coverage containing certain "essential minimum benefits" beginning in 2014. If a state decides not to create its own exchange, the federal government will establish and operate an exchange within the state.
Comments on the proposed rule were due to HHS by September 28, 2011. Despite the broad implications such exchanges hold for healthcare providers, health plans, employers, and consumers, many states have been slow to begin creating the necessary foundation for an exchange. Absent meaningful and thoughtful comments on the proposed rule by states, these stakeholders, and their lawyers, HHS will shape the future exchanges according to federal priorities. In this first installment in a series of future webinars, the panelists provided an overview of the proposed rule, noted different areas of practical and legal concern the rule raises, and answered participants' questions about the exchanges. Come learn about the exchanges and the various ways in which they may affect you and your clients.
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