In September 2010, six months after the passage of the Affordable Care Act, California became the first state in the nation to create its own insurance exchange, eventually named Covered California. This accelerated timeline was consistent with California's desire to be, in the words of the state's Health and Human Services Secretary and Exchange Board Chair Diana Dooley, the "lead car" in implementation of federal health care reform. Because of the speed with which it approached this task, as well as the sheer size of its coverage expansion, the decisions California has made have been influential both regionally and nationally. What has transpired in the state has had implications for other states as they addressed difficult issues, including minimizing adverse selection, promoting cost-conscious consumer choice, and seamlessly coordinating with public programs.
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- Fels Institute of Government at University of Pennsylvania
- Nelson A. Rockefeller Institute of Government at State University of New York
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- Copyright 2014 Fels Institute of Government at University of Pennsylvania, Nelson A. Rockefeller Institute of Government at State University of New York.