The journey of a dollar bill from a consumer (or the government) to a Patient Protection and Affordable Care Act (PPACA) exchange health plan could take many, many steps.

Managers of Maryland PPACA exchange have tried to map out that journey in a draft flowchart that shows how exchange program players will set rates and move money through the system.

The federal Centers for Medicare & Medicaid Services (CMS) is supposed to be setting up a data hub to help make the premium payment system possible, and state exchange managers and state Medicaid program managers are trying to figure out how to connect their programs with the hub.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.