• Am J Public Health · Aug 2013

    State politics and the creation of health insurance exchanges.

    • David K Jones and Scott L Greer.
    • Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA. davidkj@umich.edu
    • Am J Public Health. 2013 Aug 1; 103 (8): e8-e10.

    AbstractHealth insurance exchanges are a key component of the Affordable Care Act. Each exchange faces the challenge of minimizing friction with existing policies, coordinating churn between programs, and maximizing take-up. State-run exchanges would likely be better positioned to address these issues than a federally run exchange, yet only one third of states chose this path. Policymakers must ensure that their exchange-whether state or federally run-succeeds. Whether this happens will greatly depend on the political dynamics in each state.

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