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May 2012

Recent Stories of Interest

HHS Aims to Improve Subsidy Verification; Ways & Means Wants to ‘Claw Back’ More

From Inside Health Insurance Exchanges - Using two-year old tax return data — and the honor system — to determine whether an applicant is eligible for advance premium assistance could cause problems for enrollees who experience an increase in income. These eligible enrollees may receive a greater subsidy for health insurance than they were eligible to receive, requiring the enrollee to pay specified amounts back to the government. Read more

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To Build an Exchange and Overcome Huge Challenges, It Takes a Village of Vendors

Over the next 17 months, states won’t just have to build a… Read more

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The Supreme Court: Can State Exchanges Survive a Blow to the Individual Mandate? (with Chart:…

In the weeks since March 28 — when the Supreme Court wrapped… Read more

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In Final Exchange Rule, HHS Offers States Flexibility, but Insurers Worry About Risk

Last month, HEX noted that several states were considering exchange models in… Read more

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From the Editor

Welcome to your Inside Health Insurance Exchanges subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, and more!

Check out your newest subscriber-only feature, "State Profiles," an archive of news and data on individual states’ experiences in developing models and establishing exchanges. Click here.

Please e-mail me with your comments, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

May 17, 2012
Vt. Gov. Shumlin Signs Insurance Exchange Bill Into Law

Vt. Gov. Peter Shumlin today signed an insurance exchange bill into law — a first step in the development of a single-payer system by 2017.

March 14, 2012
CBO: Reform Will Cost Less Than Expected

CBO: Reform will cost less than expected, but fewer people will get subsidized coverage through exchanges. http://tinyurl.com/7xd9cub

January 24, 2012
Highmark to Invest $500M for Provider Network and Health Info Exchange to Compete Against UPMC

Highmark plans to invest $500M to build provider network and health info exchange to compete against UPMC. http://tinyurl.com/7jwhb8m

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A Guide to Health Insurance Reform: Benefit Design Regulation Under Federal Reform
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