Milliman on State Insurance Exchanges

July 19, 2010

Milliman has just published a two-page brief that reviews the issues states should consider as they decide whether to create their own exchange or default to the federal government. This useful piece offers pros and cons of both options, and a laundry list of items that should factor into the decision including state self-determination, ongoing cost, coordination with Medicare and Medicaid, accountability to the federal government, and regulation of insurers. Food for thought!  

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