Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Integrated Healthcare System01:20

Integrated Healthcare System

An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
Standards of Care II01:19

Standards of Care II

Nurses bear specific legal responsibilities under several federal statutes, including:

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

In Defense of Using Medical Practice Guidelines Defensively: A Response to Stewart and Peck.

American journal of law & medicine·2026
Same author

COVID-19 testing and vaccination uptake among Spanish-speaking Latine persons: impact of a novel social network intervention.

BMC public health·2026
Same author

Exclusion of Elective Care from Hospital Financial Assistance Policies - Arresting a Troubling Development.

The New England journal of medicine·2025
Same author

Characteristics influencing COVID-19 testing and vaccination among Spanish-speaking Latine persons in North Carolina.

PloS one·2025
Same author

Land Use Change Consistently Reduces α- But Not β- and γ-Diversity of Bees.

Global change biology·2025
Same author

Understanding uptake of COVID-19 testing, vaccination, and boosters among Spanish-speaking Latines in the United States: Qualitative insights from Spanish speakers and key informants.

PloS one·2024

Related Experiment Video

Updated: May 20, 2026

Cortical Neurogenesis: Transitioning from Advances in the Laboratory to Cell-Based Therapies
12:38

Cortical Neurogenesis: Transitioning from Advances in the Laboratory to Cell-Based Therapies

Published on: July 19, 2007

Establishing health insurance exchanges: three states' progress.

Mark A Hall1, Katherine Swartz

  • 1Wake Forest University School of Law, USA. mhall@wfu.edu

Issue Brief (Commonwealth Fund)
|July 20, 2012
PubMed
Summary

Three early states implemented distinct strategies for establishing health insurance marketplaces under the Affordable Care Act, offering valuable insights for other states navigating exchange implementation and future challenges.

More Related Videos

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Related Experiment Videos

Last Updated: May 20, 2026

Cortical Neurogenesis: Transitioning from Advances in the Laboratory to Cell-Based Therapies
12:38

Cortical Neurogenesis: Transitioning from Advances in the Laboratory to Cell-Based Therapies

Published on: July 19, 2007

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Area of Science:

  • Health Policy
  • Health Insurance
  • State Government

Background:

  • The Affordable Care Act mandated the creation of health insurance exchanges.
  • Early adoption of exchanges by California, Colorado, and Maryland provided initial implementation models.
  • Understanding these early approaches is crucial for ongoing healthcare reform.

Purpose of the Study:

  • To compare the initial legislative and governance approaches of California, Colorado, and Maryland in establishing health insurance exchanges.
  • To identify key differences in board composition, legislative roles, market integration, and stakeholder involvement.
  • To offer lessons learned for other states developing their own health insurance marketplaces.

Main Methods:

  • Comparative analysis of state legislation and governance structures for health insurance exchanges.
  • Examination of board appointments, legislative oversight, and market interaction strategies.
  • Review of stakeholder engagement processes in the initial phases of exchange implementation.

Main Results:

  • Significant variations were observed in the composition and appointment processes for exchange governing boards.
  • The relationship between exchange governance and state legislatures differed across the three states.
  • Distinct strategies were employed for integrating exchanges with existing insurance markets and engaging stakeholders.

Conclusions:

  • The initial decisions made by these pioneering states offer critical data for other states.
  • Future challenges for these states include exchange financing, risk adjustment for high-cost enrollees, and ensuring continuity of care.
  • These early experiences highlight the complexity of health insurance exchange implementation and management.