Some states re­luc­tant

Lit­tle known on fed­eral ex­change plans

Modern Healthcare - - THE WEEK IN HEALTHCARE - Rich Daly

It is in­creas­ingly likely that the fed­eral gov­ern­ment will need to cre­ate in­sur­ance ex­changes in states that can’t or won’t by a 2014 dead­line. HHS, though, is mum on what it will look like and how de­vel­op­ment is pro­gress­ing. The lat­est blow to the hope of fed­eral of­fi­cials that all states would de­velop their own ver­sions of the health in­sur­ance mar­ket­places came Jan. 18 when Wis­con­sin Gov. Scott Walker an­nounced he was turn­ing down a fed­eral grant pre­vi­ously awarded to help the state build an ex­change.

The Repub­li­can gov­er­nor said the move was part of an ef­fort to stop im­ple­men­ta­tion of the Pa­tient Pro­tec­tion and Af­ford­able Care Act in the state based on con­cerns about its eco­nomic im­pacts.

“When job creators and Wis­con­sin fam­i­lies are fac­ing dif­fi­cult times, it

AP PHOTO

Wis­con­sin Gov. Scott Walker told HHS he doesn’t want a grant to help set up an in­sur­ance ex­change for his state.

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