Health Insurance Exchange in Idaho and Rhode Island Move Closer to Reality

The  Idaho Department of Insurance and the Department of Health and Welfare drafted legislation to establish a health insurance exchange.  In Rhode Island, Governor Lincoln Chafee issued an executive order establishing an Exchange.

Financing of the Idaho exchange is not included in the draft. Carriers are not required to participate in the exchange, nor does it dicate whether carriers must offer insurance inside or outside the exchange.

Summary an similar provisions of both Idaho and Rhode Island Exchanges:

  • Establish health insurance exchange for individual and small group health insurance
  • The exchange would be an independent public corporation named Idaho Health Insurance Exchange in Idaho, and in Rhode Island it is to be named Rhode Island Health Benefit Exchange.  The executive order was issued in Rhode Island because legislative attempts failed.
  • Idaho’s proposed exchange is targeted to be ready to enroll individuals by January 1, 2014,
  • Establishes a governance board
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Michael Arrigo

Michael is Managing Partner & CEO of No World Borders, a leading healthcare management and IT consulting firm. He serves as an expert witness in Federal and State Court and was recently ruled as an expert by a 9th Circuit Federal Judge. He serves as a patent expert witness on intellectual property disputes, both as a Technical Expert and a Damages expert. He leads a team that provides Cybersecurity best practices for healthcare clients, ICD-10 Consulting, Meaningful Use of Electronic Health Records. He advises legal teams as an expert witness in HIPAA Privacy and Security, medical coding and billing and usual and customary cost of care, the Affordable Care Act and benefits enrollment, white collar crime, False Claims Act, Anti-Kickback, Stark Law, Insurance Fraud, payor-provider disputes, and consults to venture capital and private equity firms on mHealth, Cloud Computing in Healthcare, and Software as a Service. He advises self-insured employers on cost of care and regulations. Arrigo was recently retained by the U.S. Department of Justice (DOJ) regarding a significant false claims act investigation. He has provided opinions on over $1 billion in health care claims and due diligence on over $8 billion in healthcare mergers and acquisitions. Education: UC Irvine - Economics and Computer Science, University of Southern California - Business, studies at Stanford Medical School - Biomedical Informatics, studies at Harvard Medical School - Bioethics. Trained in over 10 medical specialties in medical billing and coding. Trained by U.S. Patent and Trademark Office (USPTO) and PTAB Judges on patent statutes, rules and case law (as a non-attorney to better advise clients on Technical and Damages aspects of patent construction and claims). Mr. Arrigo has been quoted in the Wall Street Journal, New York Times, and National Public Radio.

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