Expanding Health Care Coverage

Project Title

Developing a Framework for New York’s Insurance Exchange

Grant Amount


Priority Area

Expanding Health Care Coverage

Date Awarded

December 1, 2010








The Federal health reform law provides significant flexibility to states to design their own health insurance exchanges.

However, if New York fails to establish an exchange by January 1, 2014, the Federal government will set up and run the State exchange, either directly or through an agreement with a nonprofit entity. Thus, there is some urgency address some fundamental design issues related to the exchange. The Manhattan Institute for Policy Research’s Center for Medical Progress (MI) focused on approaches to this topic that explicitly take market-oriented and consumer choice-oriented perspectives on how best to organize insurance exchanges.

MI completed the following activities:

1. Developed an interim white paper that offers preliminary recommendations on how New York State might approach fundamental design issues related to the exchange;
2. Convened national and State experts for a conference in February 2011; and
3. Revised the paper into a final report for publication with recommendations based on the advice solicited from experts.

Read the report associated with this grant, “Building a Market-Based Health-Insurance Exchange in New York”.