Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Am J Public Health. 2013 Aug;103(8):e8-e10. doi: 10.2105/AJPH.2013.301429. Epub 2013 Jun 13.
Health insurance exchanges are a key component of the Affordable Care Act. Each exchange faces the challenge of minimizing friction with existing policies, coordinating churn between programs, and maximizing take-up. State-run exchanges would likely be better positioned to address these issues than a federally run exchange, yet only one third of states chose this path. Policymakers must ensure that their exchange-whether state or federally run-succeeds. Whether this happens will greatly depend on the political dynamics in each state.
医疗保险交易所是平价医疗法案的一个关键组成部分。每个交易所都面临着减少与现有政策摩擦、协调计划之间的转换以及最大化参与度的挑战。与联邦运营的交易所相比，州运营的交易所可能更有能力解决这些问题，但只有三分之一的州选择了这条道路。政策制定者必须确保其交易所——无论是州运营还是联邦运营——取得成功。这是否会发生在很大程度上取决于每个州的政治动态。
