HIX Commentary: Opt out at your own peril

Date: February 19, 2013||   0  Comments
States may be hurting their own citizens by letting feds run exchanges.
There’s never a shortage of ironies when it comes to healthcare reform. The latest comes from the decision by more than two dozen states to opt out of starting their own health insurance exchanges (the exact number won’t be known until after this goes to press). Not surprisingly, most of them have conservative Republican governors and are in the Deep South, the Great Plains and the Midwest.

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

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