Four visions for the California Health Benefit Exchange see it leading premium reductions, putting consumers first, reforming care delivery and payment, and aligning with Medi-Cal.
Setting the Stage: Visions for the California Health Benefit Exchange (551 K)
Price Leader: The California Health Benefit Exchange as a Driver of Low Premiums (540 K)
Service Center: The California Health Benefit Exchange as a Consumer Destination (988 K)
Change Agent: The California Health Benefit Exchange as a Catalyst of Finance and Delivery Reform (572 K)
Public Partner: The California Health Benefit Exchange Aligned with Medi-Cal (584 K)
Competing Demands: Operational Imperatives for the California Health Benefit Exchange (543 K)
The California Health Benefit Exchange (CHBE) is core to California's implementation of federal health reform. The Affordable Care Act (ACA) defines important aspects of an exchange's role and authority but leaves considerable flexibility — and responsibility — to each state to establish its strategic direction.
To help inform the CHBE's early strategic and operational decisions, CHCF contrasted varying visions for the exchange. The intent: to formulate strong alternatives that could help crystallize the implications of pursuing one path over the others. A meeting convened at CHCF and subsequent interviews identified a range of potential CHBE goals. Four approaches emerged:
Supplementing this research is an introductory paper that sets the work in context. A sixth paper examines the core operational requirements needed, since the exchange will be required to operate both as a public entity entrusted with implementing the ACA's provisions and as a private-sector marketer of health plans.
The six issue briefs are available as Document Downloads.