A Look at Key Issues in the New Marketplaces

Opportunity Knocks: Let’s Open the Door to Cover Children and Families

July 31, 2013

FL

NC

SC

GALATX

AL

AR

KS

OKAZ TN

MS

NVUT

NM

CA

WYID

WA

ORND

SD

NE

MT

MO

IN

MI

WI

IL

ME

OH

KY

HI

AK

WV VA

CTNJ

DEMD

RI

NHVT

DC

MA

CO

IA

NYMN

PA

Where Do States Stand?

States committed to state-based exchange

States committed to partnership exchange

Where Do States Stand--2013

4

The Timeline AheadDate Milestone

Oct. 1, 2012 States choose EHB benchmark plan

Nov. 16, 2012 State submits Exchange Blueprint

Jan. 1, 2013HHS (conditionally) certifies exchanges

Oct. 1, 2013 Exchanges begin enrollment

Jan. 1, 2014 QHP coverage begins

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The Timeline AheadDate Milestone

Oct. 1, 2012 States choose EHB benchmark planNov. 16, 2012 State submits Exchange Blueprint

Jan. 1, 2013HHS (conditionally) certifies exchanges

Aug. 15, 2013 FFM Navigator grants announcedSept. 9, 2013 HHS certifies FFM plansOct. 1, 2013 Exchanges begin enrollmentJan. 1, 2014 QHP coverage begins

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6

Guest Speakero Chiquita Brooks-LaSure

o Deputy Center and Policy Director, Center for Consumer Information and Insurance Oversight

8

Responderso JoAnn Volk

o Georgetown University Center on Health Insurance Reforms

o Dave Chandrao Center on Budget and Policy Priorities

o Mike Odeho Children Now

9

Marketplace Priorities

10

Assessing Marketplaceso Do my state’s EHBs cover the

benefits kids need?o Does consumer assistance

provide guidance on the complexity of covering kids?

o Are connections with Medicaid and CHIP working?

o Is the exchange reporting the information necessary to evaluate its performance?

o Are enough pediatric providers included in plans’ networks?

o Are pediatric quality measures being defined, collected, and evaluated?

o Do exchange leaders hear perspectives on and consider kids’ needs?