Policy Brief #1 – Ensuring Accountability

The opportunity to create an exchange will allow the states to increase competition and improve choices in their insurance markets. However, to fully realize this opportunity, the exchange must be accountable to the public, and the individual and small business consumers who will buy their coverage through it. The best way for the states to realize these goals is to make decisions about the exchange’s structure and governance to ensure that this important new entity is transparent in its operations, and fundamentally accountable to the public interest. By following the recommendations below, the states can ensure that their health insurance exchange reflects these principles.


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