The New York Times interviewed Manatt's Joel Ario, a managing director with Manatt Health Solutions, for an article on how the Supreme Court's decision in King v. Burwell could potentially deter states from building and operating their own health exchanges.
When the Affordable Care Act passed in 2010, it was expected that each state would want to run its own health insurance marketplace, but that did not happen. Now, with the Supreme Court ensuring that every state's consumers will have equal access to federal subsidies, it is becoming clear that more of those states will revert to a federal system for enrolling people in health insurance.
"Certainly, one of the lessons learned was that it is much more difficult than was expected," said Ario, referring to the technical and logistical hurdles that states faced while setting up state-based exchanges.
Read the article here.