Health Benefit Exchanges: Seamless Enrollment and Affordable Coverage

Author:

Greg DeBor, Paula Gallo, Jordan Battani

Federal health reform requires the creation of health benefit exchanges that rationalize and simplify information about and access to health coverage for millions of Americans. Exchanges must also serve as the single entry point for eligibility determination and verification for enrollment in government sponsored coverage and subsidy programs. Once operational, the Exchanges must also be self-sustaining, which means they must offer a customer and supplier value proposition that warrants the imposition of service fees. Meeting the design and mandate challenges imposed by the Affordable Care Act efficiently and effectively and at the same time offering value-added service and support to customers and suppliers is critical to establishing sustainable long term Exchange solutions.

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