Designing health insurance exchanges: key decisions.

Amanda Starc*, Jonathan T. Kolstad

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


A cornerstone of health care reform is the establishment of state-level insurance exchanges where individuals and small businesses can purchase health insurance in an online marketplace. States are required to develop an exchange by 2014, or participate in a federal one. The exchanges will help people without employer-sponsored insurance find and choose a health plan to meet their needs. This Issue Brief reviews the experience of Massachusetts in developing a health insurance exchange and offers policymakers guidance on key features and likely consumer responses.

Original languageEnglish (US)
Pages (from-to)1-4
Number of pages4
JournalLDI issue brief
Issue number5
StatePublished - Feb 1 2012

ASJC Scopus subject areas

  • Medicine(all)

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