Extension of State-Based SHOP Direct Enrollment Transition

CMS recently issued guidance which extends their transitional policy (originally put in place in 2015) to allow state-based marketplaces to continue to leverage direct enrollment (which is different than individual DE) for their SHOP solution through plan year 2018, rather than building their own stand-alone SHOP exchange. Beginning in 2019, state-based marketplaces who are currently […]

April 25th, 2016|Blog|

FFM vs. Private Exchanges: A look at President Obama’s proposed FY 2017 Budget

In February, President Obama released his fiscal year (FY) 2017 Budget which contains information on his funding requests for this upcoming fiscal year. The budget includes a request for an additional $535M to run the federally-facilitated marketplace (FFM) on top of the $1.6B that is already being collected from marketplace user fees. The FFM currently […]

February 26th, 2016|Blog|

Public-Private Partnerships and the Affordable Care Act

One of the primary goals of the Affordable Care Act (ACA) is to provide consumers with increased access to health insurance.  While both ( and State based marketplaces (SBMs) have made significant progress towards this goal, it has been a costly endeavor with several SBMs dealing with ongoing financial and technology challenges that still […]

August 14th, 2015|Blog|

Leverage The Private Sector To Benefit All Exchange

Last week I had an opportunity to travel to Washington, D.C. and visit with Congressional staff. The purpose of our time was to introduce the Private Exchange Coalition (PEC), a new group formed by five organizations (Array Health, Bloom Health, ConnectedHealth, Connecture and Softheon) organized and guided by Leavitt Partners. The PEC promotes industry standards […]

July 30th, 2015|Blog|