Inside Health Policy Looks to Joel Ario on SBE Sustainability

Low Enrollment, High Costs Push States to Lift Fees, Mull Move to Federal Platform
– Inside Health Policy

Inside Health Policy looked to Manatt's Joel Ario, a managing director with Manatt Health, for insight into how states are planning to sustain exchanges.

Inside Health Policy reports that several state-based exchanges intend to add or increase user fees that are tacked onto insurance policies in an effort to be self-sustaining by the end of the year. As it stands, the ACA outlines user fees as the only way to fund state-run exchanges. State-run exchanges that fail to attract enough membership during the next open-enrollment period will need to find additional funds.

With some state-run platforms succeeding, it's possible that a federally facilitated exchange state could move to a state-run model without having to invest millions of dollars in technology. Platforms successfully implemented by one state could be adapted by another state and funded through user fees, suggested Ario.

manatt-black

ATTORNEY ADVERTISING

pursuant to New York DR 2-101(f)

© 2024 Manatt, Phelps & Phillips, LLP.

All rights reserved