County-by-County Premium Variation
Health Insurance Marketplace Second Lowest Cost Silver Plan by County, 2017
(Calculated for 40-year old individual, non-smoker, based on 2017 insurance premiums)
The map below illustrates county-by-county premium variation in states for the second-lowest cost silver plan offered through the health insurance marketplaces in 2017. This map corresponds with our brief: Health Care is Local: Impact of Income and Geography on Premiums and Premium Support discussing discussing the factors that drive geographic variation in premiums and structure to support affordability despite regional variation in costs.
See also state fact sheets: Estimated AHCA and ACA Premiums and Tax Credits by State, Income, Age, and Select Counties.
Acknowledgements:
Support for this work was provided by the Robert Wood Johnson Foundation. The views expressed here do not necessarily reflect the views of the Foundation. We are also grateful for the work of the Kaiser Family Foundation whose data we leveraged for this analysis (available at: https://www.kff.org/interactive/tax-credits-under-the-affordable-care-act-vs-replacement-proposal-interactive-map/). We send special thanks to the policy team at Covered California for their analytic assistance, especially Andrew Feher, Isaac Menashe, and Katie Ravel.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































