By Friday, Ohio must announce whether it will set up a state-run health insurance exchange, or let the federal government operate it. An exchange is a place where consumers and small businesses can compare and shop for private health insurance.
President of the Health Policy Institute of Ohio, Amy Rohling McGee, says the state could also choose a 'hybrid' model and maintain some control of the exchange.
McGee says it’s difficult to assess which is the best way to go. From a cost perspective, she says, an exchange run by the federal government might make the most sense. But she points out that Ohio leaders might have better oversight of a state-run exchange and could monitor compliance.
President Obama recently announced that while states must still say by November 16th whether they plan to build their own marketplace, they can now wait until December 14th to submit their plans. An estimated 12 million people are expected to get insurance through the exchanges.