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    Health insurance exchange state rankings: 9 top performers



    Massachusetts: For State Oversight and Continuity of Care

    The Massachusetts-state-based exchange negotiates with insurers, chooses which carriers can offer exchange plans, and sets criteria for partic­ipating plans, according to the report.  

    In the categories of uniformity, non-discrimination, and transparency, it is an average-performing state.

    Boutin says one of the report's key findings is that most states need to strengthen their efforts on plan affordability and non-discrimination.  "Regardless of the type of exchange established by the state, we identified jurisdictions that are implementing effective ways to improve the health insurance marketplace," he says. "But a significant amount of work still needs to be done to empower and protect patients as they navigate the exchanges.



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