Feds Take Steps to Bolster Finances of State-Run Health Exchanges

The Obama administration on Friday proposed a new type of partnership between state and federal health marketplaces in an attempt to address the mounting financial pressures on state-run exchanges.

Under the new model, states would be allowed to use federal resources like call centers or website platforms while maintaining their own decision-making power.

The model, called “state-based exchange on the federal platform,” would allow states to “leverage the economies of scale,” the Department of Health and Human Services (HHS) wrote in its proposed rules.

States would “retain responsibility for plan management functions,” HHS said.