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Department of Medical Assistance Services
An Analysis of the Potential Effects of the Interactions Between a Virginia
HBE and Relevant Insurance Markets or Health Programs
Key Considerations (cont.)
Allow both agents and navigators to have a role in the HBE;
Design the HBE to be a “passive purchaser” model by allowing
all qualified health plans to participate, but in the event of
extreme adverse selection, allow the Board, with approval of
the Governor, to make temporary adjustments to stabilize the
market; and,
Set the parameters of what decisions should be determined by
the legislature, the Board, and the Executive Director.