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State, Federal and Private Exchanges: What is Available and How Do They Work?

Don't be left behind - discover the different types of health exchanges and how they work.

The concept of state-based marketplaces--or "exchanges"--is central to the Affordable Care Act's (ACA) approach to health care reform. And while the ACA has had more than its share of controversy, there is little dispute over its high-level aims: reduce health care costs, increase the quality of medical outcomes, and expand coverage. Irrespective of what the future holds for the ACA, it's a safe bet the exchange model will survive. In theory, exchanges leverage technology to offer near perfect access to, and information about, available medical insurance coverage options. In practice, there is still work to do. This topic will examine the origins, regulation, and implementation of the exchanges under the ACA. This topic will also provide you with a comprehensive understanding of the exchange model and its place in the ACA's regulatory scheme, and we will handicap both the design and the implementation of the exchanges to date, with a particular focus on the different state "operating environments" in which the exchange model is being implemented. At its core, a private exchange is a private business - typically operated by insurance brokers, benefit consultants, or insurers - that offers health insurance products to consumers through an electronic platform. It is important to understand that private exchanges were in existence prior to the enactment of the ACA, although private exchanges have increased in notoriety on account of the new law. While enrollment in private exchanges has not taken off like many consultants projected back in 2014, it is expected that private exchange enrollment in the group market will continue to steadily increase over the next 5 to 10 years. This topic will examine the features that make a private exchange unique and attractive to employers and employees. And, we will discuss the staying power of private exchanges as changes to the ACA and the tax treatment of employer-sponsored insurance are considered by Congress and the next president.

Runtime: 89 minutes
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Agenda

A Brief History of Health Insurance Marketplaces/Exchanges, Including "Private" Exchanges

The Massachusetts Connector

The Role of the Exchanges Under the Affordable Care Act (ACA)

The Structure of the ACA Exchanges and the Markets They Serve

Private Exchanges Serving Both the Individual and Group Markets

Current Issues and Challenges for the ACA Exchanges

Current Issues and Challenges for Private Exchanges

The Future of the Exchange Model

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Credits

OnDemand Webinar

This course was last revised on November 7, 2016.

Call 1-866-352-9540 for further credit information.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

Audio & Reference Manual

  • Arizona CLE 1.5
     
  • CA MCLE 1.5
     
  • GA CLE 1.5
     
  • HI CLE 1.5
     
  • IL CLE 1.5
     
  • ME CLE 1.5
     
  • MO CLE 1.8
     
  • MT CLE 1.5
     
  • NJ CLE 1.8
     
  • NV CLE 1.5
     
  • VT CLE 1.5
     
  • WA CLE 1.5
     
  • WV MCLE 1.8
     
The CLE Code is ONLY a requirement when applying for CLE Credit in California (for participatory credit), Kansas, New Jersey or New York. Other states do not need to supply the CLE Code to apply for CLE credit.

This program does NOT qualify, nor meet the National Standard for NASBA accreditation.

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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

Faculty

Alden J. Bianchi

Alden J. Bianchi

Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C.,

  • Member of Mintz, Levin, Cohn, Ferris, Glovsky and Popeo, P.C., and chair of the firmís employee benefits and executive compensation practice
  • Represented the Romney administration in connection with the 2006 Massachusetts health care reform law
  • Rated nationally and in Massachusetts by Chambers
  • Obtained a key U.S. Department of Labor advisory opinion fully insurance multiple employer welfare arrangements
  • Wrote Bloomberg BNA Health Care Reform Advisor, a comprehensive work on the impact of the ACA on employers and group health plans
Christopher E. Condeluci

Christopher E. Condeluci

CC Law & Policy

  • Principal and sole shareholder, CC Law & Policy, Washington, D.C.
  • Practice focuses on the ACA
  • Served as Tax and Benefits Counsel to the U.S. Senate Finance Committee during the development of the ACA (including the exchanges)
  • Wrote a BNA Portfolio on the ACA exchanges (to be published later this year
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Why Lorman?

Over 31 years and 1.4 million customers worth of experience providing continuing education. Our passion is providing you world-class training to help you succeed in business and as a professional.

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Product ID: 399393
Published 2016
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