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Exchanges Changes for 2014

In response to the Affordable Care Act, all states must declare to HHS how they plan to comply with this new regulation; Federal Exchange, Partnership Exchange, or State-Based Exchange.

 

 

Default to Federal Exchange

These states have indicated that they will default to a federally-facilitated exchange rather than planning their own model.

 

  1. North Dakota
  2. South Dakota
  3. Wyoming
  4. Nebraska
  5. Kansas
  6. Texas
  7. Missouri
  8. Wisconsin
  9. Louisiana
  10. Alabama
  11. Georgia
  12. South Carolina
  13. New Hampshire
  14. Maine
  15. Alaska

Planning for Partnership Exchange

These states indicated they will partner with the federal government to operate an exchange.

  1. Arkansas
  2. Illinois
  3. Michigan
  4. Ohio
  5. North Carolina
  6. Delaware

Declared State-Based Exchange

These states plan to establish their own exchanges.

  • Active Purchaser – the exchange set up will be with selected health plans and/or negotiate premium process with health plans
  • Clearinghouse – the exchange contract with all qualified health plans
  • Those without one of the above indicated have not chosen which route to go yet
  1. Washington
  2. Oregon- Active Purchaser
  3. California- Active Purchaser
  4. Nevada- Clearinghouse
  5. New Mexico
  6. Colorado- Clearinghouse
  7. Minnesota
  8. Kentucky
  9. Mississippi
  10. New York
  11. Vermont- Active Purchaser
  12. Connecticut- Active Purchaser
  13. Rhode Island- Active Purchaser
  14. Massachusetts- Active Purchaser
  15. Maryland- Clearinghouse
  16. Hawaii- Clearinghouse

Undecided

 

  1. Montana
  2. Idaho
  3. Utah
  4. Arizona
  5. Iowa
  6. Oklahoma
  7. Indiana
  8. Tennessee
  9. Florida
  10. West Virginia
  11. Virginia
  12. Pennsylvania
  13. New Jersey

 

The original article can be found here.

Andrea

Andréa Venezio , Chief Executive Officer
(972) 232-7700 | andreav@sapphirehg.com

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