There is a wide range of policies related to health insurance exchanges that states can pursue, depending on local market conditions, to leverage higher quality, more affordable insurance for individuals and small businesses. Such is the key message from a white paper issued by The National Academy of Social Insurance and the Georgetown University Health Policy Institute .

The paper, Active Purchasing for Health Insurance Exchanges: An Analysis of Options, by Sabrina Corlette and JoAnn Volk, research professors at the Georgetown University Health Policy Institute, addresses the issue of exchanges as "active purchasers” and was written to assist states with the implementation of health insurance exchanges. This task is a key element of President Obama’s Patient Protection and Affordable Care Act (ACA).

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