Federal Health Exchanges Face Challenges

According to a new policy brief by Health Affairs and the Robert Wood Johnson Foundation (RJWF), federally operated health insurance exchanges may find it challenging to attract healthy patients and maintain stable insurance markets.

The Patient Protection & Affordable Care Act (PPACA) created the exchanges to provide individuals and small businesses with a means to shop for coverage options. Though some states have opted to develop their own marketplaces, about half are leaving it up to the federal government to run exchanges in their states with a handful choosing a state-federal partnership approach where states retain traditional insurance regulatory authority.

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