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EXAMINING THE NUTS AND BOLTS OF INDIANA’S EXCHANGE

EXAMINING THE NUTS AND BOLTS OF INDIANA’S EXCHANGE. March 15, 2013 Sarabeth Zemel szemel@nashp.org National Academy for State Health Policy. NASHP and State Refor (u)m implementation. What is State Refor(u)m ? Online peer -to-peer learning and discussion

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EXAMINING THE NUTS AND BOLTS OF INDIANA’S EXCHANGE

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  1. EXAMINING THE NUTS AND BOLTS OF INDIANA’S EXCHANGE March 15, 2013 Sarabeth Zemel szemel@nashp.org National Academy for State Health Policy

  2. NASHP and State Refor(u)m implementation • What is State Refor(u)m? • Online peer-to-peer learning and discussion • A library to post, and share, and organize useful state resources • Real-time analysis of states’ progress in implementing health reform • www.statereforum.org • What is NASHP? • Independent academy of state health policymakers working together to identify emerging issues, develop policy solutions, and improve state health policy and practice. • A forum for constructive work across branches and agencies of state government on critical health issues facing states.

  3. State Action on Exchanges http://www.statereforum.org/where-states-stand-on-exchanges

  4. What’s a State’s Role in an FFE? • Regulating Insurance? • Educating Consumers? • Referring to Federal Exchange?

  5. Key Deadlines for FFE

  6. Exchange Plan Certification: General/Federal Requirements

  7. Insurance Market Reforms • All states have to do these or the feds will • A heavy lift for states • Without these consumer protections, harder to get insurance and get payment for services

  8. Accessibility • Guaranteed Issue • Waiting periods • Affordability • Rating requirements 2014 Market Reforms • Adequacy • Preexisting condition exclusions • Essential health benefits • OOP costs • Actuarial value

  9. Risk Adjustment and Reinsurance

  10. Resources • State Refor(u)m: www.statereforum.org • CMS National Health Insurance Marketplace Stakeholder call • Date: Monday, March 18, 2013 • Time: 2-3 pm EDT • Register: http://cmsnationalhie1.eventbrite.com

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