Smart Benefits: Exchange Funding - What’s Next?

Rob Calise, GoLocalProv Business/Health Expert

Smart Benefits: Exchange Funding - What’s Next?

Federal dollars funded the start up of Rhode Island’s state exchange, HealthSource RI. But show will the state now support its continued operation?  

All state-run insurance exchanges that are part of the ACA must be financially sustainable this year. Last week, the Rhode Island’s House heard testimony over Governor Raimondo’s proposed tax on individual and small business health insurance plans to pay to keep HealthSource RI going. 

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But several other states struggling with the same shortfall issues are considering different approaches.

Hawaii: The state’s lawmakers are considering a $5 million cash infusion from the general fund to keep Hawaii Health Connector afloat. Last year, the state approved $1.5 million to keep the exchange going.

Minnesota: In March, the Governor announced the creation of a task force to study its options, which include the long-term viability of MNsure and the possibility of reverting to the federal exchange.   

Oregon: The state abolished its exchange, Cover Oregon., and is using the federal marketplace.

Vermont: Despite a recent meeting between the state’s Lt. Governor and Connecticut officials to see if components of CT’s exchange could help Vermont save, the administration announced contingency plans under which Vermont could move to the federal marketplace if the serious problems with Vermont Health Connect aren't fixed this year. 

In the quest to self-sustain, the future will reveal the most successful approaches.  

Rob Calise is a founding partner of Cornerstone Group, where he helps clients control the costs of employee benefits by focusing on consumer driven strategies and on how to best utilize the tax savings tools the government provides. Rob serves as Chairman of the Board of United Benefit Advisors, and is a board member of the Blue Cross & Blue Shield of RI Broker Advisory Board, United HealthCare of New England Broker Advisory Board and Rhode Island Business Healthcare Advisors Council. He is also a member of the National Association of Health Underwriters (NAHU), American Health Insurance Association (AHIA) and the Employers Council on Flexible Compensation (ECFC), as well as various human resource associations. Rob is a graduate of Bryant University with a BS in Finance.

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