Top 10 actuarial issues for a health exchange (Milliman)

In order to create a financially self-supporting healthcare exchange, a state needs to make a number of critical decisions, such as whether to make the exchange mandatory or voluntary and whether to merge the individual and small group markets. Each state will need to address its own priorities based on its own specific situation and healthcare environment. This article discusses the top 10 actuarial concerns surrounding the formation of a healthcare exchange.