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With a GOP plan to fully or partly repeal the Affordable Care Act now dead, Congressional attention has turned to how or if to bolster the individual insurance marketplace. In many states such marketplaces are struggling with both rising premiums and a loss of insurers willing to sell policies through health benefits exchanges (See SNCJ Spotlight in this issue). But not all such exchanges are alike. There are in fact four different kinds of exchange models, making lawmakers’ efforts to address problems that much more difficult. Those exchanges can be totally state-run, state-run but using a federal IT platform, a state-federal partnership where duties and responsibilities are shared, and an exchange managed entirely by the federal Department of Health and Human Services.
Source: Kaiser Family Foundation