The executive director of one health insurance marketplace that operates as a “supported state-based exchange” said language in a rule HHS proposed Friday (Nov. 20) to codify that particular kind of exchange could drive his marketplace to drop the model. A former CMS official agrees the rule, and its leasing fees in particular, will deter states from moving forward on the “leasing” approach, but other experts disagree. Bruce Gilbert, who leads the Silver State Health Insurance Exchange in Nevada,...