This implementation brief, Preparing for Health Insurance Exchanges: Benefits, Challenges, and Responsibilities for the Federal Government and the States, is the third in a series of reports exploring some of the most formidable and important challenges facing states and the federal government as they implement the Affordable Care Act. These exchanges, which will offer a wide choice of private health plans and sliding scale federal premium subsidies for millions of Americans, are scheduled to launch in 2014.
The University of Maryland School of Public Policy and the IBM Center for The Business of Government are collaborating to offer a unique voice on the major implementation issues surrounding health care reform.
The Implementation Brief series is based on two key premises:
The Brief is published at a time when states are grappling with how to reduce spending on Medicaid. In the face of significant budget shortfalls, some states are proposing to drop hundreds of thousands of low-income adults from Medicaid.
