Massachusetts already has a plan up and running that involves an individual requirement to buy coverage, subsidies for the poorest and a state-supervised insurance exchange.

马萨诸塞州已经制订计划并开始实施，其中涉及个人购买保险的规定、对特困者的津贴制度及由州进行监管的保险外汇制度。

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Large group plans offered through the insurance exchange would have to include minimum types of coverage.

经由保险市场提供的大型团体保险计划将必须包括最低的承保范围。

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Massachusetts, which has achieved near-universal coverage this way, had its exchange working in six months.

马萨诸塞州已经几乎达到了全民医保，而其交易工作已经顺利进行六个月了。

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This similarity between the exchange coverage and Medicaid was highlighted by another point made on the Tenet call, first noted by UBS analyst A.J.

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Part D is an optional insurance program that charges a monthly fee in exchange for prescription drug coverage.

FORBES: The ABCDs of Medicare

Employees will then go to the new health insurance exchange and purchase individual coverage that is just as good as employer based coverage.

FORBES: Obamacare's Small Business Health Insurance - Is Delay Another Tactic To Remove Employers From The Market?