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QualityTool

Designing an Exchange: A Toolkit for State Policymakers


Description

This legislative toolkit, from the National Academy of Social Insurance (NASI), can assist State policymakers with the design of health insurance exchanges, a key element of the Patient Protection and Affordable Care Act (ACA). It was developed by a panel of experts from a variety of disciplines and perspectives and builds on the model law released by the National Association of Insurance Commissioners (NAIC).

The toolkit includes legislative language with alternatives and additions to the NAIC model act. The NASI legislative language offers options in a number of key areas, including exchange governance, establishment of a Small Business Health Options Program (SHOP) for small employers, eligibility determination and enrollment, certification of qualified health plans, and coordination with Medicaid and the Children’s Health Insurance Program. It also includes a section-by-section guide that documents NASI’s additions to the NAIC language and a narrative discussion of the concerns that motivated the alternatives presented.
Links to the Tool:
This tool is available at: http://www.rwjf.org/content/dam/farm/legacy-parents/rwjf69307

Developer

National Academy of Social Insurance

Funding Sources

Robert Wood Johnson Foundation


QualityTool Topic

other; Quality improvement strategies


History

  • Release Date: 01/2011
  • Original Summary: 05/2012
Disclaimer: The inclusion of a tool in the Innovations Exchange does not constitute or imply an endorsement by the U.S. Department of Health and Human Services, the Agency for Healthcare Research and Quality or Westat of the tool or of the submitter or developer of the tool. Read more.
QualityTool Classification

IOM Domains of Quality:
QualityTool Format:

Last updated: November 28, 2012.