The centerpiece of the Affordable Care Act are the state health insurance exchanges where individuals beginning October 1st will be able to buy health care insurance with coverage beginning January 1st. There are numerous questions regarding how and how well the exchanges will function. For example, how may insurance plans will participate in each state, how competetive will these marketplaces be or what premiums participating plans will charge and how many individuals will purchase health insurance through the exchanges.
During this 28-minute telephonic interview Professor Jost describes generally how the exchanges will operate, what challenges they face including, for example, adequate participation (particularly among young adults), concern regarding employers self-insuring to avoid ACA mandates, the status of the SHOP exchanges, how related ACA coverage provisions may have been/might be improved and expectations for how well the exchanges will operate in their first year.
Professor Tim Jost holds the Robert L. Willett Family Professorship of Law at the Washington and Lee University School of Law. Prior to Professor Jost taught for twenty years at Ohio State University where he held appointments in the law and medical schools. He is a coauthor of a casebook, Health Law, used widely throughout the US. He is also the author or editor of Health Care at Risk, A Critique of the Consumer-Driven Movement; Health Care Coverage Determinations: An International Comparative Study; Readings in Comparative Health Law and Bioethics; Medicare and Medicaid Fraud and Abuse; and, Regulation of the Health Care Professions. Professor Jost blogs regularly for Health Affairs, i.e. he has analyzed virtually every rule and guidance issued by the departments of Health and Human Services, Labor, and Treasury implementing Title I of the Affordable Care Act. These can be found at: http://healthaffairs.org/blog/author/jost/. Professor Jost is an elected member of the Institute of Medicine, the American Law Institute, and the National Academy of Social Insurance. He is a member of the American Society of Law and Medicine, the American Health Lawyers Association, the American Society of Comparative Law, and the American Bar Association.