As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?
Jon Kingsdale, Managing Director, Wakely Consulting Group Patrick Holland, Managing Director, Wakely Consulting Group
The ‘How Can Insurance Exchanges Strategically Approach the Selection and Management of Qualified Health Plans?’ took place on Thursday, February 14 at 2:00 pm ET, and was facilitated by Wakely Consulting Group. Click the blue “download” button on the left to access the slides from the webinar and click here to download the webinar recording. Wakely has also published an issue brief covering this same topic. Below is a brief write-up on the webinar:
Contracting with issuers to offer qualified health plans (QHPs) is one of the most important opportunities that Exchanges have to affect health care reform in their states. Unlike many start-up tasks, certifying, re-certifying, de-certifying and managing the relationship over time with health plans is an ongoing and evolving set of tasks. Therefore, Exchanges should take a strategic approach to these functions. This webinar looked at the many of the types of decisions that Exchanges should consider in preparing to launch a clean, effective QHP solicitation process; the standards that Exchanges can use to certify QHPs; and what are options for “negotiating” key elements of the issuers’ proposals.