Building the Infrastructure for a New York Health Benefit Exchange: Key Decisions for State Policymakers

Author/Editor: Peter Newell and Robert L. Carey


With pressing deadlines in the Federal Affordable Care Act for the development of a health insurance exchange, a new United Hospital Fund report examines key structural decisions faced by New York State as it begins implementation of this key feature of the law.

The report begins with the question of whether New York should establish its own exchange or allow the federal government to establish one for New Yorkers. It then discusses the type and scope of possible exchanges and presents a detailed assessment of governance issues. The report is based on a thorough review of the federal reform law, New York laws and regulations, and activities in Massachusetts and other states, along with interviews of state officials and market participants. The authors provide an analytic framework for the state’s policymakers—who must quickly make important planning decisions or risk losing eligibility for federal funding and falling behind in federal health reform implementation.

Support for Building the Infrastructure for a New York Health Benefit Exchange: Key Decisions for State Policymakers—written by Peter Newell, co-director of the Fund’s Health Insurance Project, and Robert L. Carey, senior advisor at Public Consulting Group and former director of policy and development for the Massachusetts Commonwealth Connector Authority—was provided by the New York State Health Foundation.

Read the related press release.

Read the second report in this series, Coordinating Medicaid and the Exchange in New York.

Read the third report in this series, Two into One: Merging Markets and Exchanges under the Affordable Care Act.

Read the fourth report in this series, Passive/Active: Defining the Role for a Health Benefit Exchange in the Interests of New Yorkers.

Read the fifth report in this series, Defining Essential Health Benefits: Federal Guidance and New York Options.

Read the sixth report in this series, Networks in New York and the Affordable Care Act

Copyright: 2011
Published: 01.04.2011




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