West Virginia Health Benefit Exchange

West Virginia Health Benefit Exchange
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Mission: “The WV Exchange will inform consumers of their eligibility for premium tax credits and subsidies when purchasing insurance in the Exchange marketplace, as well as informing them about their eligibility for public health insurance programs such as Medicaid or CHIP.” The West Virginia Health Benefits Exchange was established when Governor Earl Ray Tomblin signed […]Continue reading «West Virginia Health Benefit Exchange»

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Mission: “The WV Exchange will inform consumers of their eligibility for premium tax credits and subsidies when purchasing insurance in the Exchange marketplace, as well as informing them about their eligibility for public health insurance programs such as Medicaid or CHIP.”
The West Virginia Health Benefits Exchange was established when Governor Earl Ray Tomblin signed SB 408. The Exchange is a governmental entity of the state. It will have a Board of Directors consisting of ten people and staff appointed to various positions. In December 2011, an IT Strategic Plan was submitted that suggested the state should proceed with IT development even though an Exchange Board was not established yet. The Office of Insurance Commissioner is working with the Department of Health and Human Resources to potentially integrate technology solutions. 
In September 2010, West Virginia received a federal Planning grant worth $1 million and in August 2011, a Level One Establishment grant of $9.7 million. The Establishment grant will go towards studying consumer quality, economic modeling, and risk adjustment. 
In early 2012, the Office of Insurance Commissioner released an operation plan, which includes assessing feasibility of a state exchange, risks to development, and various phases involved in building it. Although Board members have not been appointed, staff has been hired to plan the Exchange. Multi-stakeholder workgroups that will soon be established are expected to carry out planning and provide the Board with recommendations. An actuarial analysis is currently being conducted to estimate planning costs and three-year operation of the Exchange. A final decision by the governor will be made after the Insurance Commissioner analyzes the financial impact of Essential Health Benefit options. An exchange blueprint and declaration letter stating whether the state wants to operate as a state-based exchange must be submitted by the governor to the U.S. Department of Health and Human Services by November 2012. 
Information from http://healthreform.kff.org/State-Exchange-Profiles/west-virginia.aspx

 

Address

1124 Smith Street Room 305 Charleston, WV 25301

Phone

(304) 558-6279 Ext 1264


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