choose your own adventure: state exchange update scott leitz nashp conference oct 5, kansas city, mo
DESCRIPTION
Milestones in Exchange Indicator 1.Decide whether to establish a state, sub-state, or multi-state Exchange or defer to the federal government 2.Solicit stakeholder input on Exchange design 3.Determine policy goals for the Exchange 4.Establish governance of the Exchange 5.Define the health plan selection strategy of the Exchange 6.Develop an implementation plan and timeline for building an Exchange that will be operational on or before January 1, Develop IT infrastructure specifications for the Exchange 8.Develop specifications for a user-friendly Exchange website and a call center for exchange customer service 9.Adopt provider network standards for Exchange plans that meet or exceed those required by federal laws and regulations 10.Adopt a plan rating system that meets or exceeds standards developed by the federal government 11.Develop enrollee billing procedures and allocate responsibilities among the Exchange, employers and qualified plans 12.Determine how health plan benefit design in the Exchange will meet federal standards for essential benefits and tiers 13.Develop a plan for making the Exchange financially self-sustaining by Develop a strategy for educating consumers and employers about their rights and responsibilities regarding the Exchange 15. Test the Exchange's functionality with individual and small employer users 16.Develop financial reporting, audit, internal controls, accounting policies, and other related practices for the ExchangeTRANSCRIPT
Choose Your Own Adventure: State Exchange Update
Scott LeitzNASHP ConferenceOct 5, Kansas City, MO
Progress Toward Be Strategic with Insurance Exchange
*as of Sept. 2011
Milestones in Exchange Indicator1. Decide whether to establish a state, sub-state, or
multi-state Exchange or defer to the federal government
2. Solicit stakeholder input on Exchange design
3. Determine policy goals for the Exchange
4. Establish governance of the Exchange
5. Define the health plan selection strategy of the Exchange
6. Develop an implementation plan and timeline for building an Exchange that will be operational on or before January 1, 2014
7. Develop IT infrastructure specifications for the Exchange
8. Develop specifications for a user-friendly Exchange website and a call center for exchange customer service
9. Adopt provider network standards for Exchange plans that meet or exceed those required by federal laws and regulations
10. Adopt a plan rating system that meets or exceeds standards developed by the federal government
11. Develop enrollee billing procedures and allocate responsibilities among the Exchange, employers and qualified plans
12. Determine how health plan benefit design in the Exchange will meet federal standards for essential benefits and tiers
13. Develop a plan for making the Exchange financially self-sustaining by 2015
14. Develop a strategy for educating consumers and employers about their rights and responsibilities regarding the Exchange
15. Test the Exchange's functionality with individual and small employer users
16. Develop financial reporting, audit, internal controls, accounting policies, and other related practices for the Exchange
Progress Toward Be Strategic with Insurance Exchange
* "Percent progress" has not been derived from a comprehensive survey of state health reform implementation progress. It refers to the number of milestone tasks a state has completed divided by the 16 milestones that are listed within the Exchange indicator.
Data as of 9/23/2011
What Types of Exchange-Related Documents Are States Sharing?
Legislation
Executive Orders
Board Memos
Meeting Minutes
Grant proposals
RFPs
Market Research
Workplans and timelines
Job Descriptions
Who is Sharing Exchange-Related Info?
Legislation
Executiv Orders
Board Memos
Meeting Minutes
Grant proposals
RFPs
Market Research
Workplans and timelines
Job Descriptions
Find and Share Information and Ideas
See the number of documents, the number of discussions, and the number of states participating in discussions.
Synthesis Tools and Blog:www.statereforum.org/blog
“ 18 First Steps Forward for State Exchanges” and “Highlights from Second
Round of Exchange Establishment Grants”