29 Million Americans Expected to Enroll for Coverage Using an HIX by 2022

by Patrick Riley 13 Aug 2013
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According to the Congressional Budget Office (CBO) 9 million eligible citizens will enroll for coverage using health insurance exchanges (HIXs) in 2014 and by 2022 an extimated 13 million more will sign up. These numbers indicate the sheer volume of newly insured or amended employer based (small business) patients immigrating into our health system. (CA

Each state, working with the federal government is crafting their unique and individual portals for individuals and small businesses can compare and buy health insurance. Fourteen states elected to establish and run their own "marketplace" (CA, CO, CT, DC, HI, KY, MD, MA, MN, NV, NY, OR, RI, VT, WA, ID and NM) two have elected to run a state-based exchange (ID & NM) where the states perform most core exchange functions and the federal government maintains the health IT infrastructure, and Utah has received approval to establish what is being called as a bifurcated exchange where the state of Utah handles all small business core exchange and infrastructure and the federal government handles the individual elements.

The majority of states chose to do nothing and per the ACA let the federal government establish and run the exchange for them (AL, AK, AZ, FL, GA, IN, LA, MS, MO, NJ, NC, ND, OK, PA, SC, TN, TX, WI, WY). There are two more fabrications of an exchange plan, the first, referred to as Variant 1 is where the "State conducts plan management and/or consumer assistance, outreach, and education functions on behalf of the federal government; the federal assets then operate the remaining core exchange functions" (AR, DE, IL, IA, MI, NH, and WV). Variant 2: or maketplace plan management is where the state conducts plan management on behalf of the federal goverhment; the federal government operates the remaining core exchange functions (KS, ME, MT, NE, OH, SD, and VA).

Enrollment is expected to begin by October 1st of this year with an open enrollment period running to March 31, 2014. Coverage will go into effect January 1, 2014. Each state offers varying degrees of readiness, our topic for tomorrow.

Find out more on this topic by following me on Twitter @Patrick_FrostHC. I welcome your feedback and comments.

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