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The Affordable Care Act: Legal or not, states will continue implementing health insurance exchanges

While the nation eagerly awaits the announcement of the Supreme Court’s ruling on the constitutionality of the Patient Protection and Affordable Care Act (ACA), a handful of states are swiftly moving forward with implementing state-run health insurance exchanges (HIXs). Deltek recently released an Analyst Perspective, highlighting a few of these states and examining at what states plan to do in regards to HIX implementation as a result of the ACA ruling, whether it is upheld or struck down. A couple of highlights include:
  • Hawaii submitted the very first declaration letter to the U.S. Department of Health and Human Services (HHS) Center for Consumer Information and Insurance Oversight (CCIIO) two weeks ago for its Hawaii Health Connector.
  • Earlier this month, Accenture was awarded a $359 million contract for the California Healthcare Eligibility, Enrollment and Retention System (CalHEERS). Starting October 1, 2013, Californians will be able to pre-enroll in health plans through the exchange.
  • Rhode Island, the first state to obtain full federal funding for its HIX, recently appointed a new HIX director. With a number of HIX-related planning contracts in place, procurements on the street, and several other procurements in the pipeline, the state expects to have the HIX fully implemented by the January 1, 2014, deadline.
Meanwhile, 11 states and the federal government have combined to establish Enroll UX 2014, a new standard for both public and private health insurance enrollment that serves as a customizable reference model for the design of health insurance exchanges (HIXs) at both the state and federal levels. The idea behind Enroll UX 2014 is to provide consumers with a “best-in-class” user experience (UX) for enrolling in health insurance exchange coverage through the ACA-mandated exchanges, while working to eliminate duplicated design efforts amongst states. The Centers for Medicare and Medicaid Services (CMS) plans to leverage the model as it builds its federally-facilitated exchange, as well as its model application and Internet portal.
Interested in reading more? The Analyst Perspective is available here!

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