The creation of health insurance exchanges is one of the key components of the Patient Protection and Affordable Care Act (ACA) that is being discussed, debated, legislated and planned for in states.
AAP chapter involvement in planning for health insurance exchanges will ensure that the needs of pediatricians and children are met when exchanges become operational.
Exchanges are to be new marketplaces for insurance plans beginning Jan. 1, 2014. There are two types of exchanges — one for individuals and one for small businesses. States can have one type of each exchange or combine them, and/or run exchanges in various parts of the state.
Regional exchanges among states also can be established. In addition, the federal government is offering a new “partnership” model, where states and the federal government will control portions of exchange operations together.
States have considerable flexibility with respect to exchanges, including whether to have an exchange...