michael bare and david r. riemer, “exchange risk pools: policy options for states” 1 the...

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Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk Pools: Policy Options for States Michael Bare, Research and Program Coordinator Project for Health Insurance Exchange Education (PHIXE)

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Page 1: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1

The Affordable Care Act

David Riemer,

Senior Fellow

Exchange Risk Pools: Policy Options for States

Michael Bare, Research and Program Coordinator

Project for Health Insurance Exchange Education (PHIXE)

Page 2: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 2

Exchanges

Health Insurance Exchanges Are a Centerpiece of ACA

Page 3: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 3

By 11/16/2011…

States must submit “blueprints” to HHS:

Page 4: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 4

By 1/1/2014…

States must have a self-sufficient individual exchange in operation.

Page 5: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 5

By 1/1/2014…

States must have a self-sufficient small group exchange in operation.

Page 6: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 6

At any time…

States can choose to operate a separate exchange for government employers.

Page 7: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 7

At any time…

States can choose to merge the individual and small group markets.

Page 8: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 8

On 1/1/2016…

The ACA requires the SHOP to include employers with up to 100 FTEs.

Page 9: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 9

On 1/1/2017…

The ACA allows states to add employers of any size in the SHOP.

Page 10: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 10

On 1/1/2017…

States can include government employers in the SHOP exchange.

Page 11: Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 1 The Affordable Care Act David Riemer, Senior Fellow Exchange Risk

Michael Bare and David R. Riemer, “Exchange Risk Pools: Policy Options for States” 11

Discussion and Thank You

Please feel free to contact us:

Michael Bare, Research Director and Program Coordinator, and

David Riemer, Director of Policy and Planning

Community Advocates Public Policy Institute728 North James Lovell Street, Milwaukee, WI 53233Phone: 414-270-2953E-Mail: [email protected], [email protected]