The Obama administration is expected to make some small changes to the federal exchange, such as giving users a direct link to insurer's provider network directories, Pearson said.
Horn of Deloitte said total enrollment should not be the only factor used to measure the success of exchanges. He said state-run exchanges have more control over the interplay with their Medicaid program so consumers can more easily move back and forth between that program and private plans purchased on the exchange. The federal exchange was unable to transmit the information from tens of thousands of people deemed eligible for Medicaid from its computer to state Medicaid programs.
And some states hope to score political points by having a state-run exchange.
"Creating our own unique technology platform will continue to prevent federal intervention and gets Idaho closer to its goal of being a completely self-sustaining exchange," said Stephen Weeg, chairman of the Idaho exchange board.
Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation.
Wed, Apr 23 2014