Individual Enrollment in Federal and State Health Insurance Marketplaces 2018-2019*
Read a blog about state-based marketplace performance here and view slides comparing state-based and federally-facilitated marketplaces here.
** The District of Columbia reports that 1,352 lives transitioned from their individual health insurance marketplace to their Small business Health Options Program (SHOP) from 2018 to 2019, a major factor contributing to its individual market loss in 2019.
*** 2019 is the first year that Vermont enacted a policy to permit the sale of individual market plans sold outside its marketplace. This enabled the sale of “mirror” plans that are insulated from premium increases attributed to “silver-loading,” a practice of premium modifications made to account for the loss of federal cost-sharing reduction funding.
View 2017-2018 state-based marketplace enrollment here.


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. 























































































































































