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    Health insurance exchange state rankings: 9 top performers





    The Affordable Care Act (ACA) required all states to implement state-based health insurance exchanges. Though the government required states to meet certain requirements in relation to these exchanges, states vary when it comes to how the exchanges are implemented and the services they provide patients.

    The National Health Council (NHC) recently released "Enhancing the Patient-Centeredness of State Health Insurance Markets," which it describes as a "state progress report" of state health insurance exchanges. The reports are meant to illustrate the variability of the "patient-centeredness" of health insurance exchanges, and to identify states that set "best practices for patient-friendly requirements," according to the NHC.

    The analysis, based on a proprietary database of policy developments maintained by Avalere Health, describes how states performed in five areas as of January 1, 2015.

    1. Nondiscrimination: Whether plans discriminate or impede access to care, such as through limited provider networks.

    2. Transparency: Whether plans provide clear and accurate information for consumers.

    3. State oversight: Whether all exchange plans meet state and federal requirements.

    4. Uniformity: Whether exchanges create standards to make it easier for patients to compare plans.

    5. Continuity of care: Whether exchanges broaden sources of coverage and protect patients transitioning between plans.

    Here are nine states the report identified as "high-performers" in key areas.



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