Reports and Analyses

State Implementation Reports, Analyses, and Presentations

Presentations

ACHP hosted a web conference series on state-level exchange implementation. Below are presentations prepared for that series by McKenna Long & Aldridge.

Review of State-Level Activity on Insurance Exchanges
March 25, 2011

Policy Options for Addressing "Churn" in the Health Insurance Exchange
May 5, 2011

Purchasing Inside vs. Outside the Exchanges
June 9, 2011

National Governors Association

Reports, Analyses, and Tools

Kaiser Family Foundation - How Competitive are State Insurance Markets
The Kaiser Family Foundation prepared an analysis of how competitive state insurance markets are. Competitiveness will impact most provisions of the ACA, and it will be a key factor in a state's decision to establish an exchange.
October 2011

Kaiser Family Foundation - Implementing Health Insurance Exchanges: State Profiles
The Kaiser Family Foundation prepared a series of short, high-level summaries of state progress implementing health insurance exchanges. The Kaiser Family Foundation map of implementation activity can be found here.
October 2011

The Commonwealth Fund - State Health Insurance Exchange Legislation: A Progress Report
The Commonwealth Fund prepared a blog post on the progress of state-level efforts to implement health insurance exchanges. The blog post includes an overview of current efforts, and a map indicating where states are in the implementation process. 
July 2011

Kaiser Family Foundation - Establishing Health Insurance Exchanges: An Update on State Efforts
The Kaiser Family Foundation prepared an issue brief that outlines state efforts to establish health insurance exchanges. The brief includes short descriptions of established exchanges. 
July 2011

Price Waterhouse Coopers - Changing the Channel: Health Insurance Exchanges-Expanding Choice and Competition
Price Waterhouse Coopers prepared a report on competition between insurers in the post-exchange market. 
July 2011

Health Policy and Spending Tracker
Congressional Quarterly created a health policy and spending tracker that allows users to track exchange legislation and health care spending. 
June 2011

Achieving Continuity of Coverage in the Exchange
Deborah Bachrach, Special Counsel for Manatt, Phelps & Phillips, LLP, prepared this presentation on churn within the state health exchanges for a Commonwealth Fund - Alliance for Health Reform briefing on the same topic. Additional briefing materials, presentations, and background documents can be found here. 
May 2011

Early Innovator Grants Announcement
The Department of Health and Human Services announced $241 million dollars in "early innovator" grants to state. The states receiving these grants including Oregon, New York, Wisconsin, and a multi-state consortium led by the University of Massachusettes are leaders in state-exchange IT development. 
February 2011

State Reports, timelines, and general implementation documents
The National Conference of State Legislatures compiled state reports, timelines, and other documents regarding health care reform implementation. 
December 2010

Chart of Rate Review Laws by State
The National Conference of State Legislatures complied a chart of premium rate review laws by state. The ACA provides grants to states for premium rate review and enforcement.
December 2010 

National Association of Insurance Commissioners - Model State Exchange Law
The Health Insurance and Managed Care (B) Committee adopted model American Health Benefits Exchange language. This language is being considered by the plenary on December 16. 
November 2010

National Governors Association - Discussion Draft on Establishing Exchanges
The National Governors Association prepared a discussion draft on establishing state-level exchanges. This draft also provides an overview of the MA Connector and UT Exchanges. 
November 2010

CRS Report - Health Insurance Agents and Brokers in the Reformed Health Insurance Market
The Congressional Research Service prepared a report on how agents and brokers are affected by the PPACA market changes. The report also addresses what role the exchange navigators will play in this new market. 
October 2010

Robert Wood Johnson Foundation - Health Insurance Exchanges: Implementation and Data Considerations for States and Existing Models for Comparison
The Robert Wood Johnson Foundation prepared a report of key issues states may face when establishing their health insurance exchanges. The report compares existing exchanges in Massachusettes, Utah, Washington (SHOP), and a private exchange in Connecticut (SHOP). 
October 2010

Academy Health - Re-imagining Federal and State Roles for Health Reform Under the Patient Protection and Affordable Care Act
Academy Health prepared a brief examining major state level implementation issues associated with the ACA. This analysis also looks at the changing relationship between state governments and the federal government as a result of the ACA.
September 2010

Robert Wood Johnson Foundation/Urban Institute - National Health Reform: Harnessing Federal Resources to Meet State Policy Goals
Stan Dorn of the Urban Institute analyzes the effect the ACA will have on existing state programs and how states can implement new ACA provisions by 2014.
September 2010

National Governors Association 

National Governors Association - Establishing a State-Level Exchange
The National Governors Association published this discussion paper outlining different issues states must address when establishing an exchange.
June 2010