Dennis Bass, Washington Post
By January 2014, the states and the District must either establish their own health insurance exchanges under the Affordable Care Act (ACA), combine with other states to form a regional exchange or have the federal government set up an exchange for them.The District has opted for the first option, and this month it moved ahead with a model unlike anything pursued by any state in the nation, with the exception of Vermont: On Oct. 3, the D.C. Health Exchange Authority’s executive board unanimously approved a plan that would abolish the marketplace as we know it for firms with 50...