William MacBain

GHG Overview and Analysis: NPRM on Exchanges

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On July 11, 2011, the Center for Medicare and Medicaid Services (CMS) released two proposed rules to implement provisions of the Affordable Care Act (ACA) which authorize competitive marketplaces known as Affordable Insurance Exchanges, or “Exchanges,” where individuals and small employer groups can compare private health insurance options on the basis of price and quality, enroll in qualified health plans and receive federal subsidies (or determine eligibility for other health programs such as Medicaid and CHIP). The Exchanges are effective beginning January 1, 2014.

As promised, the GHG policy team has developed a summary and analysis of the release.

Please feel free to direct your comments to ghg@gormanhealthgroup.com, and/or leave your thoughts here as well.

William MacBain

About William MacBain

Bill brings GHG clients more than 25 years of experience in senior management positions at some of the nation’s most progressive health plans. Bill provides guidance for health plans in developing and executing sustainably profitable business models, saving valuable resources with his operations experience and knowledge of CMS regulations. Read more

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