West Virginia discusses joint insurance exchange with Virgin Islands

In one the most unusual potential partnerships inspired by President Obama's healthcare reform law, West Virginia is talking to the Virgin Islands about possibly partnering to create an insurance exchange, Kaiser Health News reports.

The law requires states to have insurance exchanges in place by 2014 or have the federal government run things. The law allows states to band together, but insurance officials warn that joint exchanges are complicated because states have widely varying insurance laws and carriers.

West Virginia already processes Medicaid claims for the U.S. territory, KHN reports, making the state a logical partner.