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Insurance Exchange

The Patient Protection and Accountable Care Act of 2010 requires states to establish a health insurance exchange – a market where consumers may easily shop for health insurance. California was the first state to enact such legislation, establishing the California Health Benefit Exchange.


Thinking Ahead: High Priorities for CA’s ACA Implementation (DRAFT)

This working draft examines California’s ACA implementation efforts – where we are and where we need to go in the near future.  Topics discussed include: Education, outreach and enrollment Medi-Cal expansion and simplification Exchange Residually uninsured Behavioral health Safety net Bending the cost curve Evolution The draft is available for […] more

Creating a Streamlined Service Center for California’s Health Subsidy Programs

The California Health Benefit Exchange, in coordination with the Department of Health Care Services (DHCS), will launch a new service center in 2014 to provide individuals and families with a unified eligibility determination and enrollment portal. This service center will allow consumers to learn about their coverage options and simultaneously […] more

At October Board Meeting, California Health Benefit Exchange Reports Considerable Interest among Insurers, Picks a Name: Covered California

The California Health Benefit Exchange Board has received a considerable amount of interest from health insurance issuers who may submit bids to sell plans through the Exchange. At the board meeting today, the Exchange staff reported that 33 issuers have indicated interest in submitting bids, with 5 issuers interested in […] more

Health Reform Implementation Legislation Still Awaiting a Decision from Governor Brown

Governor Brown has the remainder of the month of September to decide whether to sign or veto several pieces of health reform implementation legislation that the Legislature has passed. The legislation would implement many elements of the Affordable Care Act (ACA) in California. Included in these bills are provisions that […] more

September California Exchange Board Meeting: SHOP, Consumer Assistance, Stakeholder Engagement Options

The California Health Benefits Exchange Board will meet in Sacramento tomorrow, September 18, 2012. The agenda includes action on the Exchange’s stakeholder engagement plan, the qualified health plan (QHP) solicitation process, and the operations of the Small Business Health Options Program (SHOP). In addition, the Board will discuss ombudsman and […] more

Affordable Care Act Provisions for Consumers

The Affordable Care Act (ACA) was the most consequential piece of health care legislation in decades and remains deeply controversial among the American public more than two years after becoming law. Even though some individuals have strongly held opinions about the law, much of the public still has a relatively […] more

In Final Week of 2012 Session, California Legislature Passes ACA Implementation Legislation, Effort to Restore Healthy Families Fails

Last week was the final week of the 2012 legislative session, and the California Legislature passed several key pieces of health reform legislation. Many of the bills implement central elements of the Affordable Care Act (ACA) in California. Governor Brown will have the month of September to decide whether to […] more

Basic Health Plan: Taking a Slow Deep Breath and Thinking of Alternatives

In the last few weeks, I have received many concerned inquiries about the Basic Health Plan (BHP). For lack of a better definition, a Basic Health Plan is a hybrid, – not Medi-Cal, not Medicare, not commercial insurance – an option for states to cover individuals with incomes between 133% […] more

ITUP’s Thoughts on the Basic Health Plan Option

ITUP’s goals for California’s implementation of the Affordable Care Acts are: 1) to cover as many uninsured as possible; 2) to build a strong and successful Exchange to buy more affordable coverage for small employers and privately insured and uninsured individuals; and 3) to develop integrated safety nets that compete […] more

ITUP Comments on Exchange Stakeholder Questions

The Exchange recently sought stakeholder comments on qualified health plans (QHP), benefit design and delivery system reform to foster better value and enhanced quality in California through a series of extensive questions.  The following is ITUP’s comments; the full document is available for download.   Dear Peter, Thank you for […] more