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Law&Pol of Hlth Insur Exchngs (LAW-719-001)
The Supreme Court’s health reform decision and the reelection of President Obama ensure that Health Insurance Exchanges will be implemented in all 50 states. These Exchanges are a central part of the Affordable Care Act’s health insurance coverage strategy and are expected to transform individual and small-group health insurance markets. State Exchanges offer consumers and small businesses a transparent market in which to shop for affordable health insurance. The Exchanges will also determine individuals’ eligibility for insurance affordability programs such as Medicaid, the Child Health Insurance Program (CHIP), and advance premium tax credits and cost-sharing reductions. States that have opted to create their own exchanges or to partner with the federal government to create an exchange face numerous decisions about how to structure their Exchanges and health insurance markets. They must weigh the impact different policy options will have on access to care; insurance premiums; medical care; and costs to individuals, employers, and state. Meanwhile, the fact that about half of the states have opted to default to the federal government’s Exchange raises serious implementation challenges for the federal government and questions about how it will structure the Exchanges in these states. This course will explore, discuss and analyze the legal and political opportunities and challenges surrounding the establishment and operation of Health Insurance Exchanges. Academic credit requirement: Paper, due 3 weeks after the course ends.
Textbooks and Other Materials
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First Class Readings
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