Health Care Reform: Exchanges that Work for Rural

One of the primary features of the Affordable Care Act law is the creation of health insurance exchanges. An Exchange is an insurance marketplace with the goal to help individuals and small businesses access affordable and quality health insurance. This report examines important rural issues and considerations in health insurance Exchanges.

Since rural area have high numbers of people without health insurance, have vastly higher numbers of people who purchase health insurance on the individual market and have more small businesses, the Exchanges will be crucial for access to affordable, quality health insurance for rural people. Many of the questions and issues facing states as they develop the Exchanges are important to making Exchanges work for rural people.

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