title: State politics and the creation of health insurance exchanges.
abstract: Health insurance exchanges are a key component of the Affordable Care Act. Each exchange faces the challenge of minimizing friction with existing policies, coordinating churn between programs, and maximizing take-up. State-run exchanges would likely be better positioned to address these issues than a federally run exchange, yet only one third of states chose this path. Policymakers must ensure that their exchange-whether state or federally run-succeeds. Whether this happens will greatly depend on the political dynamics in each state.
authors.affiliation: Department of Health Management and Policy, School of Public Health, University of Michigan, Ann Arbor, MI, USA. davidkj@umich.edu
authors.forename: David K
authors.initials: DK
authors.lastname: Jones
authors.forename: Scott L
authors.initials: SL
authors.lastname: Greer
mesh_terms: D018166:Health Care Reform; D062265:Health Insurance Exchanges / Q000458:organization & administration*; D006291:Health Policy; D006801:Humans; D058991:Patient Protection and Affordable Care Act; D011057:Politics; D013219:State Government; D014481:United States