The CMS has a growing health insurance exchange problem.
The authors of the 2010 federal healthcare overhaul never intended the federal government to operate most health insurance exchanges. But as the nation gears up for an expected 7 million new beneficiaries to make use of exchanges — about 85% of whom will require complex subsidies — 26 states have left their operations to the federal government.
And it’s beginning to look like the number of states hankering for a federal takeover could grow. A number of state-led exchanges are way behind schedule.
Are the feds up to the task, given that running something for more than half the country is a lot more complex than launching any one state exchange? Experts say local insurance market variations will stop the federal exchange builders from using cookie cutter economies of scale.