In the absence of federal legislation, states are actively seeking 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 to stabilize their health insurance marketplace. SHVS is tracking state activity and has many resources, including a template, for states interested in pursuing a Section 1332 waiver.
Report from the States: Early Observations about Five State Marketplaces
Manatt Health Solutions
Implementation of the health insurance marketplaces has been an ongoing challenge across the country in the initial months of open enrollment. While state marketplaces are still evolving, and some are experiencing their own implementation challenges, they are largely working. This brief, prepared by the team at Manatt Health Solutions, looks at five state marketplaces to assess early lessons that might help to explain early enrollment trends. Based on interviews with state leadership and review of publicly available documents, the report explores the early implementation experience in Kynect (Kentucky), New York State of Health (New York), MNsure (Minnesota), HealthSource RI (Rhode Island), and the Washington Healthplanfinder (Washington State).