PROVIDENCE – The success of Rhode Island’s Health Benefits Exchange requires a “thoughtful approach,” according to a report from the Rhode Island Public Expenditure Council issued Wednesday.
The report, “Rhode Island’s Health Benefit Exchange: Progress and Challenges,” describes the state’s proposed health benefits exchange and provides recommendations for implementation.
“Success of the exchange requires a thoughtful approach to expanding access to health coverage without making unnecessary demands on the budget,” RIPEC Executive Director John Simmons said in prepared remarks. “Rhode Island has the opportunity to be a national leader in this area by taking prudent action with regard to exchange development and implementation.”
According to RIPEC, the HBE, which is central to the Affordable Care Act’s goal of expanding insurance coverage by providing a market for affordable health care plans, has the potential to reduce the state’s uninsured population.
In December, the federal government granted Rhode Island conditional approval for its exchange blueprint. Federal grants for exchange development totaling $64.8 million are the 13th highest nationally and the second highest per capita, according to the RIPEC report.
“The exchange has the potential to reduce the state’s uninsured population by providing access to transparent and affordable health insurance plans,” said the report. “However, the long-term sustainability of the HBE depends on a number of factors, including how many individuals access insurance through the exchange.”
RIPEC said the exchange population must be large enough to fund operations and to “leverage economies of scale to offer affordable plans.”
According to the report, eligibility decisions made by Medicaid will impact the demographics and size of the population purchasing within the exchange. “In order to ensure the viability of both, the state must consider the number and type of individuals who will fall under the purview of [either Medicaid or the exchange],” said RIPEC.