HIX Commentary: Opt out at your own peril
Whatever happened to states’ rights? You’ll recall that during the healthcare reform debate, House liberals pushed for a single national exchange with a publicly run insurance option to compete with private insurers. Besides wanting to expand the public sector’s role in healthcare finance, they saw a national exchange as a boon to areas that suffer from a lack of health insurance competition.
Not only was the public option rejected, so was the national exchange. Ultimately, more conservative Democrats in the Senate such as Sen. Max Baucus of Montana (Republicans mostly ignored the debate) thought that when it comes to selling insurance, it was better to let states determine the best solution for what ultimately is a local market driven by local conditions.
via Modern Healthcare | continue reading