As the November 16 deadline approaches for states to report plans to establish a health insurance exchange, a new report from PwC’s Health Research Institute (HRI) projects that more states are likely to involve the federal government than previously expected. The report, Health Insurance Exchanges: Long on Options; Short on Time, released today, also provides one of the first detailed profiles of the population expected to enroll in the newly created exchanges.
According to the report, 13 states and the District of Columbia have announced that they will run their own exchanges. PwC’s HRI projects that a majority of the remaining 37 states will have the federal government directly involved in running their exchanges. Eight states have already chosen to have a federally-facilitated exchange, while three have selected an approach that divides duties in a state/federal “partnership.”
The 12 million Americans expected to begin enrollment in the exchanges next year represent a new, emerging healthcare customer base with a demographic profile and health needs that differ from the current insured population, according to HRI analysis. States have two crucial decisions to make this fall that could have a big impact on this group’s patient care a decade from now: whether to expand Medicaid coverage and how to create an open insurance marketplace that meets their needs.
“Newly-created exchanges represent the biggest insurance expansion since Medicare in 1965,” said Kelly Barnes, PwC US health industries leader. “The exchanges will serve a group of people [Read more…]