Colorado Health Insurance Exchange Explained

By Andrea Davidson


The official name for the new Colorado Health Insurance Exchange is Connect for Health Colorado or CHC. This is a marketplace where small businesses and individuals that have previously been uninsured can find affordable plans. CHC and other such exchanges across the nation will begin enrollments from Oct 2013, and coverage for those enrolled will become active as of January 1, 2014.

CHC was established as one a compliance requirement for states under the Affordable Care Act or PPACA, which is perhaps better known as the healthcare reform bill. The law requires all legal residents and citizens residing in the United States to be provided health insurance starting from 2014. The exchanges being established in individual states are among the core components of the reform.

CHC is expected to provide access to coverage for 500,000 additional adults in the state. This means a vast majority of approximately 750,000 uninsured people in Colorado will be able to enroll into affordable plans. Those who already have insurance can also find a new plan if they think it will save them money and provide better coverage.

As of now, CHC is starting off with two platforms. One is the marketplace for individuals, and the other one is for small businesses with no more than 100 employees. This second marketplace, called SHOP, may become available to larger businesses from 2017 onwards, if the state so desires.

Colorado expects healthcare premiums to drop by 14 to 20 percent due to the reform measures. Some of it is attributed to the influx of new customers, coupled with the establishment of the exchange where providers are going to be forced to compete for customers. Forecasts show that the premium amount paid by a family in the state will drop by anywhere in between $1,510 to $2,160 per year.

Another advantage of this marketplace is that it eliminates some of the worst excesses under the old system. Among the biggest changes is the fact that providers will no longer be able to turn down applications from people with preexisting conditions. They won't be able to charge higher premiums, or refuse to cover a preexisting condition while allowing the applicant to enroll in a plan that covers said condition for others.

The federal government is paying for the entire cost of establishing these exchanges and their operational costs until 2016. After that, the state governments will start paying for 5% of the costs until 2020, at which time the state is expected to start paying for 20 percent of costs. Colorado alone is expected to get additional federal funding to the tune of $12 billion or more for all the expenses associated with the marketplace and other reforms.

There has never been such an expansion of the government-aided social net since the New Deal was implemented. There have been protests about healthcare in the country being socialized, and business groups have been vocal about the additional costs they must face. There's also the possibility that confusion over the proposed changes coupled with implementation problems may cause the transition to be painful. However, what matters most is that the Colorado Health Insurance Exchange ensures that a majority of those previously uninsured will be covered going forward.




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