Small-Group Session

Issues in Health Insurance Reform: More on Insurance Exchanges
April 15, 2009


Sally Coberly, PhD


This session was a follow-up to a March 6, 2009, small-group session on health insurance exchanges. The discussion focused on issues related to the geographic scale or size of an exchange, how many exchanges might operate in a geographic area, and what functions they might perform. The organization, governance, and financing of an exchange were also discussed. Examples and lessons were drawn from experiences with the Commonwealth Connector, the Health Insurance Plan of California (a now defunct purchasing pool for small businesses), and the failed 2008 California health reform legislation.


Kathryn Linehan, Principal Policy Analyst, National Health Policy Forum; Jon M. Kingsdale, PhD, Executive Director, Commonwealth Health Insurance Connector Authority, The Commonwealth of Massachusetts; Lesley Cummings, Executive Director, California Managed Risk Medical Insurance Board; John M. Bertko, FSA, Adjunct Staff, The RAND Corporation; Gary Claxton, Vice President and Director, Health Care Marketplace Project, Henry J. Kaiser Family Foundation

Slides from the presentation by Ms. Linehan are available for download. Speakers' biographies are also available.

Related Materials

Other recent meetings in the Forum's series on health insurance reform include sessions on underwriting, rating, and regulation in the individual market (December 3, 2008); rating rules in the individual market, part II (February 19, 2009); health insurance exchanges (March 6, 2009); risk adjustment and rating in the small-group market (March 20, 2009); actuarial equivalence (April 7, 2009); and federal/state regulatory roles, subsidy administration (May 8, 2009).

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