Find out more →

Get unlimited access. Become a digital member!

Thursday, December 13, 2012

Who should run the health-insurance exchanges?

Posted By on Thu, Dec 13, 2012 at 12:09 PM

Good roundup last night on Marketplace on the question of whether to have states or the federal government run the health-insurance exchanges. Arkansas announced yesterday that for now the state will go with a partnership with the feds.

Really hard to say at this point which approach will yield better results. The feds are charging an additional 3.5 percent fee on policies sold on a federally run exchange, but most consumers will not be impacted.

My guess is that states running their own exchanges are likely going to be at least mildly more efficient and less costly — and thinking nationally, I’d expect you’d see more innovation with each state tackling the problem in its own way. On the other hand, a federally run exchange might be marginally to the left of one run by Arkansas, via more regulation of insurance companies on the exchange. But no one really knows. And again, the impact on consumers is likely to be negligible, both in terms of quality of service and premium price.

The funny thing is that the sort of people that should really, really want state control are conservatives of a strong federalist bent. And they’re the very folks that have ceded control to the big, bad federal government because opposing any and all things Obamacare is their all-consuming obsession.

Tags:

Favorite

Comments (6)

Showing 1-6 of 6

Add a comment

 
Subscribe to this thread:
Showing 1-6 of 6

Add a comment

More by David Ramsey

  • Health care task force narrows choices for consultant to four

    The first big task for the Health Reform Legislative Task Force, the task force pushed by Gov. Asa Hutchinson to examine alternatives to the private option, is hiring a consultant. The task force met today and examined and discussed six proposals, narrowing the list down to four candidates .
    • May 4, 2015
  • Cotton's tactics on Iran bill backfire

    Sen. Tom Cotton's unforced error ends up sinking GOP strategy on Iran bill. Cotton apparently getting comfortable with the idea of being Ted Cruz 2.0.
    • May 4, 2015
  • More »

Most Shared

  • Clinton rules return

    As a professional matter, I've been halfway dreading Hillary Clinton's presidential candidacy. The 2016 Democratic nomination appears to be hers for the asking. Democrats enjoy a strong Electoral College advantage. And yet it's hard to imagine how she can overcome the unrelenting hostility of the Washington media clique.
  • Gene Lyons gets to the heart of 'Clinton Cash'

    Gene Lyons gets to the heart of the "Clinton cash" so-called scandal, a Whitewater-style investigation so far that has been long on innuendo but short on damning facts.
  • Bass Pro opens megastore in Memphis' Pyramid

    Brass Pro Shops opened a new megastore and hotel today in the former Pyramid arena in Memphis. Kat Robinson and Grav Weldon are providing photo coverage.
  • Asa's talk is cheap

    Asa Hutchinson seems so much nicer about his belief in legal discrimination. But the result is more dangerous. You can be falsely lulled, as the national press has been, into believing Hutchinson is a moderate.
  • Christian soldier

    When he announces next week that he is again running for president, Mike Huckabee will tap into one of the world's great traditions of political combat: religious fear.

Most Viewed

  • City steps up police presence in Centennial Park

    The Little Rock Police Department has assigned an extra patrol to the Centennial Park area after a complaint by a property owner got Mayor Mark Stodola's attention. Paul Dodds, who lives on West 17th Street and Park and whose company Urban Frontier LLC has fixed up 10 properties for sale and rent and owns several more, emailed Stodola, the city board of directors and the police chief on Sunday. Stodola today directed City Manager Bruce Moore to increase "directed patrols" in the park area and "have Entergy light this place up like it is daytime. With summer break upon us we need to stifle this activity before it gets worse."
  • Cotton's tactics on Iran bill backfire

    Sen. Tom Cotton's unforced error ends up sinking GOP strategy on Iran bill. Cotton apparently getting comfortable with the idea of being Ted Cruz 2.0.
  • Health care task force narrows choices for consultant to four

    The first big task for the Health Reform Legislative Task Force, the task force pushed by Gov. Asa Hutchinson to examine alternatives to the private option, is hiring a consultant. The task force met today and examined and discussed six proposals, narrowing the list down to four candidates .
  • State Police: teen rescued from human trafficking operation, NLR woman arrested

    The Arkansas State Police announced today that they have recovered a 15-year-old girl from a south Little Rock motel where they say she was being held against her will and sexually exploited.
  • The slow Monday open line and video

    Here's an open line.

Most Recent Comments

Blogroll

 

© 2015 Arkansas Times | 201 East Markham, Suite 200, Little Rock, AR 72201
Powered by Foundation