a focus on income support has remained constant. We can assume that based on recent U.S. policy certain incentives and regulations will continue in healthcare and that the general effect will be to encourage scale and specialization. The main difference between healthcare and agriculture is that interoperability is essential for the former and will create cooperatives focused on data sharing just as in agriculture smaller providers have historically joined forces to achieve economies of scale and reduce redundant processes.
December 20, 2012 - HHS Secretary Kathleen Sebelius announced three more states that are tracking on time to implement health care law by establishing Health Insurance Exchanges (HIX). HHS issued the first conditional approval of a State Partnership Exchange to Delaware and Minnesota and Rhode Island. Second Order Effects of the HIX Movement State Exchanges [...]
As of Wednesday November 14th, here is an update on which direction each state is headed. States have until Friday November 16th to declare their intentions, although States received extra time from U.S. Health and Human Services to submit operating plans for the Insurance Exchanges until December, 2012.
The Idaho Department of Insurance and the Department of Health and Welfare drafted legislation to establish a health insurance exchange. In Rhode Island, Governor Lincoln Chafee issued an executive order establishing an Exchange. Financing of the Idaho exchange is not included in the draft. Carriers are not required to participate in the exchange, nor does it dicate whether carriers must offer insurance inside or outside the exchange.