The Patient Protection and Affordable Care Act of 2010 (PPACA) is supposed to be bad for business, but plenty of companies have other ideas.

Sarah Kliff has written a story for the Washington Post in which she talks about the PPACA health insurance exchange gold rush.

PPACA is supposed to create the exchanges — a collection of entities that consumers and small businesses are supposed to be able to use new federal tax subsidies to shop for coverage — starting Jan. 1, 2014.

The U.S. Department of Health and Human Services (HHS) has received thousands of comments about the exchanges, and the exchanges are, sort of, starting to take shape.

Kliff notes that 24 million Americans are supposed to be using the exchanges to buy coverage, but PPACA and the implementing regulations leave many questions, such as who will be authorized to sell health insurance on the exchanges, unanswered.

“What benefits will health plans have to cover?” Kliff asks. “And, if states don’t set up their own marketplace, what would a federally run exchange look like?”

Kliff quotes Karen Ignagni, the president of America’s Health Insurance Plans (AHIP), Washington, as saying that AHIP want to understand what the rules are.

Read the story.

-alb