California has always been among the more adaptive of States when it comes to the question of developing a State Exchange, eager to adopt the health care reforms and set up its own online marketplace that will serve as the standard health insurance buying platform for its residents. Thus, it makes sense to understand how the California State Exchange program is developing.
According to earlier reports, the California State Exchange will be further divided across seven locations, each of which will cover a substantial portion of the state. This division can be understood as the creation of subsidiary Exchanges that will comply with the main, State Exchange. All the six counties of North Bay will be a part of the northern California region. A certain number of health plans will be enlisted for each of these regions. On an average, between six and seven health plans are expected for each of these regions.
To ensure that the California State Exchange has a sizeable number of insurers for providing a decent degree of health care coverage, notification of intent was sought from the more known of the state’s insurers. More than 30 intents were received—each ready to provide coverage in coherence with the regulations that will govern the State Exchange. All of you might know that the amount of health benefits provided across each state exchange can vary.
Yes, each of the health plans, whether listed on the state or federal exchange, should have a basic coverage format where essential medical care is covered but the realm of essential health benefits can vary across each of these States. The California State Exchange is expected to provide nearly ten health benefits as a part of EHB in its health care enrollment, implying that all the payers wanting to comply with the exchange eligibility conditions need to provide this as a standard feature across all their plans listed on the Exchange.
The efforts of California State Exchange are developing and the State realizes that the creation of a subsidized health insurance platform will help to offset the calculation that projects the presence of more than 300,000 uninsured in the state by 2014. The other end of the spectrum is related to employers who are busy working out how the arrival of state exchanges will affect their employee insurance responsibilities. Some of them have started meeting with broker and agents outside the realm of Exchanges. These are intermediaries who are developing private exchanges using the latest in insurance company software solutions and are poised to offer the most competitive of employee benefit coverage plans.
Some of the insurers in the state plan to be listed among the private health exchanges and the California state exchange, wanting to capture a larger section of the state’s uninsured and those who will be galvanized with the arrival of exchange marketplaces.
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