Patient Protection and Affordable Care Act
Patient Protection and Affordable Care Act
A number of health insurance exchange plans created helps to develop organized strategies on the provision of health services. Health insurance exchanges help the state provide a variety of health policies in order to create a competitive health market. They are created in order to develop a system that allows consumers clearly understand all possible options available in the health care industry, (Edlin & Stiglitz, 2012).
The work of the exchanges is to regulate the insurance market so as to allow individuals make the right decision in relation to the health care insurance they want. Insurance exchanges will provide consumers with choice of health plans. The system focus on developing different choice plans that customers can select from. It is the work of exchanges to ensure that customers have the ability to access the plans and select one. The insurance exchanges will also focus on the market price hence allow a competitive market. A competitive market plan will minimize the aspect of developing benefits. Despite that, average enrollees will go for the plans instead of the common healthier customers, (Edlin & Stiglitz, 2012).
Insurance exchanges will provide information closer to customers. Apart from providing a choice of health plans, exchange insurance system aims at providing clients with relevant health care insurance information. Customers get relevant information such as provision of health plans, benefits provided by the plans, costs associated with plans, and performance. On the same not, the system will act as an advisor to customers who encounter problems with their plans. Customers who want assistance in any health plan issue will get relevant assistance from the experts, (Edlin & Stiglitz, 2012).
Another important function of the insurance exchanges is the creation of administrative mechanism for enrolling customers. Some individuals get private insurance coverage through their employers. The insurance exchange system focuses on assisting customers who have no potential to get such assistance on their insurance plans. It focuses on people who work in small organizations as well as those who want to buy policies individually. Apart from that, the system will aid in determining eligibility for customers in order to administer any income related subsidies. The government will work closely with the system in order to ensure that individuals get the right services, (Edlin & Stiglitz, 2012).
Individuals who change their jobs encounter difficulties in switching their insurance policies. The work of insurance exchange system is to upgrade the portability of the insurance care coverage system. Insurance exchange system will de-link customer’s coverage plans from the employment. This will help the customers continue with the plan in the right direction without any worry on how to re-link to the new job. It will force on the few possible options that foster ease coordination of any changes that might arise from the coverage policy system, (Edlin & Stiglitz, 2012).
The entire insurance market calls for reformation in order to serve customers in the right condition. The work of exchange system is to develop rules on how insurance market sells coverage, but it will also focus on slight market reformation process. Customers who buy their insurance coverage from firms that do not belong to the market may get high charges. It is the work of the system to ensure that customers get similar services in all areas where insurance plans are offered, (Edlin & Stiglitz, 2012).
Reference:
Edlin, A. S. & Stiglitz, J. E. (2012). The Economists’ Voice 2.0: The Financial Crisis, Health Care Reform, and More: Columbia University Press
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