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View Diary: More Republican governors opt for federal control of health care exchanges (191 comments)

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  •  I don't think it is one Federal plan (1+ / 0-)
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    el dorado gal

    because each state has its own insurance regulations and laws. So the Federal exchange will have to deal with thirty of so different insurance situations. This complication unfortunately creates a high chance for the Fed exchange to mess up at some point, just because it will be such a byzantine mass of conflicting requirements. If the prohibition on selling insurance across state lines were eliminated it would make the Fed exchange a lot easier to manage.

    From  the WP:

    Experts say the federal government has an interest in persuading as many states as possible to agree, at minimum, to a partnership. That’s because the aspects that the states would handle are labor intensive and customized to each state — making them more difficult for federal authorities to deal with. These tasks include deciding which health plans can be sold on the exchanges and monitoring plans’ compliance, as well as providing outreach and assistance to consumers.

    The latter will require setting up large call centers and walk-in offices, with staff members trained in the minutiae of insurance regulation.

    Bruce Caswell, who runs the health-services segment of Maximus — a Reston-based firm that works on large government data systems and is bidding on a federal contract to assist the exchanges — suggested that the government may have to rely heavily on private contractors.

    You fell victim to one of the classic blunders, the most famous of which is "Never get involved in a land war in Asia".

    by yellowdog on Fri Nov 16, 2012 at 11:14:55 AM PST

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