The roll-out of the federal health insyrance exchange in late 2013 under the Affordable Care Act was troubled with site crashes and long wait times. Of the states that launched their own exchanges, Kentucky had one of the most trouble-free sites. Kentucky is a red state and the only southern state to fully embrace the Affordable Care Act.
Kentucky health officials have said that the portion of uninsured people in the state has dropped from 20 percent to 11 percent since enrollment began. But the Kentucky Hospital Association released a report last week saying that under the Affordable Care Act, hospitals will lose more money in payment cuts that they will gain in revenue from expanded coverage.
Carrie Banahan is the executive director of the Kentucky Health Benefit Exchange, or Kynect, as the state’s initiative is called. She’s a 32-year veteran of Kentucky state government. She served as deputy commissioner of the Department of Insurance and later as the deputy Medicaid commissioner before becoming the governor’s health policy adviser. Banahan was in Rapid City and joined Dakota Midday to discuss Kentucky's experiences with a state-run exchange.