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Health Insurance Exchanges: A strategic perspective

New Issue Brief outlines health insurance exchange regulatory guidance and provides overview of anticipated coverage


The Affordable Care Act (ACA) seeks to increase insurance coverage for 32 million uninsured individuals, including 24 million who are expected to obtain coverage through a health insurance exchange (Congressional Budget Office [CBO] projection). The number who might eventually obtain coverage through these exchanges may be up to 65 million if employers curtail employer-sponsored insurance (ESI) programs or larger numbers of individuals pursue coverage (Deloitte Center for Health Solutions projection, “Analysis of Insurance Coverage in 2020”).

This Issue Brief:

  • Provides an overview of requirements for health insurance exchanges, including anticipated coverage based on Deloitte Center for Health Solutions analysis
  • Outlines the roles of the states and health plans
  • Presents a summary of the July 11, 2011 proposed rule, which set the minimum standards for health insurance exchanges
  • Reviews implications for key stakeholders

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