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Obama to Control Most Health Exchanges

32 states have opted out of building an exchange or are expected to opt out.

By Alex Wayne, Bloomberg | Updated on December 14, 2012

More than half of the state exchanges to be created under the 2010 U.S. health-care overhaul are expected to be run by the federal government, offering insurers and consumers uniform criteria in at least those areas.

While a final tally won’t come until at least tomorrow, 32 states have either said they’ll let the U.S. build all or most of their exchanges or are expected to, according to Avalere Health, a Washington-based consultant. That puts the onus on the Obama administration to set up and maintain the marketplaces that sit at the heart of the Affordable Care Act’s mandate to expand medical coverage to as many as 30 million people.

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