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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.

Qualified Health Plan Recommendations

March 27, 2012 Mr. Peter Lee, Executive Director California Health Benefits Exchange 2535 Capitol Oaks Drive, Suite 120 Sacramento, CA 95833 Re: Contracting with Qualified Health Plans (QHP’s) Dear Peter, Thank you for the opportunity to comment on the proposed criteria for qualified health plans contracting with the Exchange. Insure […] more

Creating the California Health Benefit Exchange: Progress to Date

An updated version is available for download, which incorporates February Exchange Board meeting news/developments. A health benefit exchange is a health insurance “marketplace” where individuals can shop for coverage based on price and quality. The Patient Protection and Affordable Care Act (ACA), signed into law on March 23, 2010 by […] more

Exchange Recommendations January 2012

Introduction In 2011, ITUP hosted two issue workgroups on the Exchange and 25 regional workgroups on various health policy topics throughout California’s nine regions. Workgroups brought together policy makers, counties, health plans, employers, unions, community groups, providers, advocates, and other public and private stakeholders throughout the state. This brief will […] more

The Exchange and Public Programs Report

This working draft outlines public programs for adults, possible integration with the Exchange, and their future in a post-reform world.Programs covered include: the Medi-Cal program (including the Medically Needy and Pregnancy/Perinatal Care programs), county health programs, the §1115 Waiver, the Basic Health Plan, MRMIP and PCIP, Access for Infants and […] more

Children’s Coverage and the Exchange

This working draft outlines public programs for children, possible integration with the Exchange, and their future in a post-reform world.

Programs covered include: Healthy Families; Access for Infants and Mothers (AIM); Family Planning, Access, Care and Treatment (Family PACT); Child Health Disability and Prevention (CHDP); California Children’s Services (CCS); Healthy Kids and Children’s Health Initiatives (CHI); the Medi-Cal Pregnancy and Perinatal Care; and the Medi-Cal Medically Needy Program. more

Thoughts on the Basic Health Plan

The ACA permits states to cover individuals with incomes between 133 and 200% of FPL through a Basic Health Plan (BHP).[i] States who choose to do so would receive 95% of what the federal government would have paid for their coverage through the Exchange. This is based on the Washington […] more