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The Exchange will have the following features 
Blue Cross:
Comprehensive benefits. The benefit package will be similar to that offered through the Federal Employees Health Benefits Program (FEHBP), the program through which Members of Congress get their own health care. Plans will include coverage of all essential medical services, including preventive, maternity and mental health care.
Affordable premiums, co-pays and deductibles. Participants will be charged fair premiums and minimal co-pays for deductibles for preventive services.
Simplified paperwork. The plan will simplify paperwork for providers and will increase savings to the system overall.
Easy enrollment. All Exchange health insurance plans will be simple to enroll in and provide ready access to coverage.
Portability and choice. Participants will be able to move from job to job without changing or jeopardizing their health care coverage.
***We already have that under HIPAA DOL Website
Quality and efficiency. Participating hospitals and providers that participate in the new public plan will be required to collect and report data to ensure that standards for health care quality, health information technology and administration are being met.
Visions for CA Health Benefit Exchange
Price Leader
Service Center
Catalyst of Finance and Delivery Reform
Operational Imperatives
The National Health Insurance Exchange, will reward for achieving performance thresholds on physician-validated outcome measures.
What is the exchange? An insurance company? Medicare? From Obama's FAQ's, it appears to be only a regulatory agency, or just a place for several insurance companies to market together, we had that, HIPC Pac Advantage, in CA, but it fell apart.
CHFC Building a National Insurance Exchange - Lessons from CA
Licensed Brokers & agents can be "Navigators"
amendment # 223
Section 3105 of the Kennedy bill says American Health Benefit Gateways would be created in every state, serving as a health insurance exchange.
A "Navigators" program would award grants to public and private entities to "conduct public education; distribute fair and impartial information regarding health plans; [and] assist with enrollment and provide information that is culturally and linguistically appropriate for the population."
The bill stipulates that both health insurance issuers and current independent insurance agents would be prohibited from participating in the Navigators program. biz journals.com
Hatch, that would require any entity selected as a navigator of agreements with state governments to conduct public education activities on enrollment in qualified health plans to be qualified and licensed to engage in the appropriate activities Help Committee Amendments
We also have Mr. Mip for those who do not qualify for Individual Health Insurance, but that has maybe a 5 month waiting list.
From Obama's FAQ's
For those who want private insurance, the Obama plan creates a National Health Insurance Exchange, which will act as a watchdog group and help reform the private insurance market by creating rules and standards for participating insurance plans to ensure fairness and to make coverage more affordable and accessible. Barack Obama.com
CHCF Article on "Pay for Performance"
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- NEW AFFORDABLE, ACCESSIBLE HEALTH INSURANCE OPTIONS.
- The Obama-Biden plan will create a National Health Insurance Exchange to help individuals purchase new affordable health care options if they are uninsured or want new health insurance. Through the Exchange, any American will have the opportunity to enroll in the new public plan or an approved private plan, and income-based sliding scale tax credits will be provided for people and families who need it. Insurers would have to issue every applicant a policy and charge fair and stable premiums that will not depend upon health status. The Exchange will require that all the plans offered are at least as generous as the new public plan and meet the same standards for quality and efficiency. Insurers would be required to justify an above-average premium increase to the Exchange. The Exchange would evaluate plans and make the differences among the plans, including cost of services, transparent.
California Health Benefit Exchange SB 900 Alquist 2010California Patient Protection and Affordable Care Act CPPACA AB 1602 John Perez 2010
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