Health Coverage and Access
FEATURED ARTICLE
State-Based Marketplaces See Enrollment Growth in 2018, Despite Roadblocks and Confusion
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Christina CousartWhile national enrollment in Affordable Care Act (ACA) marketplaces reached 11.8 million for 2018 – about 3.7 percent less than in 2017 — enrollment in states that have more control over their marketplaces grew by 0.2 percent. Meanwhile, enrollment fell by 5.3 percent in states that use the federally-facilitated marketplace, according to data released by […]
How the Bipartisan Budget Act Impacts Key State Health Care Programs
/in Policy Blogs Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by NASHP StaffThe Bipartisan Budget Act of 2018, which continues government funding through March 23, 2018, addressed funding for several health care programs that heavily impact states. The temporary federal budget includes bipartisan agreement on discretionary budget caps for two years, which should help Congress put together a larger omnibus spending bill in March. The following outlines […]
NASHP and AcademyHealth Invite State Medicaid, Public Health, and Immunization Officials to Join an Initiative to Boost Immunization Rates among Medicaid Enrollees
/in Policy Health Coverage and Access, Maternal, Child, and Adolescent Health, Population Health /by NASHP StaffAcademyHealth and the National Academy for State Health Policy (NASHP), with support from the Colorado Children’s Immunization Coalition, are working with state health officials interested in improving their immunization rates to participate in a Community of Practice (CoP). Through a project funded by a US Centers for Disease Control and Prevention cooperative agreement, Immunization Barriers in […]
Public Webinar: How Would a State Individual Insurance Mandate Work?
/in Policy Maryland, Massachusetts Webinars Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersIndividual Marketplace Enrollment Remains Stable in the Face of National Uncertainty
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffState-Run Marketplaces’ Enrollment Outpaces Federal Sign-ups New data show that overall plan selections in the 2018 open enrollment period in state-based marketplaces (SBMs), the state-based marketplaces that use the federal platform (SBM-FPs) and the federally facilitated marketplace (FFM), remained generally stable despite facing significant national uncertainty. The National Academy for State Health Policy (NASHP) released […]
State Health Insurance Marketplace Enrollment (Plan Selections) 2017 and 2018
/in Policy Charts Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffPress Release: Individual Marketplace Enrollment Remains Stable in the Face of National Uncertainty Click here to view or download .pdf version of chart. [1] State-based marketplaces (SBM) design their enrollment websites, control outreach and marketing, and manage the health plans offered through the marketplace. This data came from publically available sources or directly from the […]
States Await Federal Action on Critical Health Care Safety Net Funding
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Safety Net Providers and Rural Health /by Rachel DonlonOne out of twelve Americans and one out of six adults and children covered by Medicaid and the Children’s Health Insurance Program (CHIP) receive their care at health centers funded in part by the federal Health Center Program. Funding uncertainty for this program and two other federal safety net programs — the National Health […]
State-Based Marketplace Directors Ask Senate Leaders to Support a Reinsurance Program
/in Policy Blogs Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffExecutive directors of 10 state-based insurance marketplaces have asked leaders of the Senate Health, Education, Labor and Pensions Committee to support Congressional efforts to stabilize Affordable Care Act (ACA) insurance marketplaces through a reinsurance program that would spread the financial risk for high-risk individuals across insurance markets. The leaders wrote in a Jan. 30, 2018, […]
A Snapshot of State Proposals to Implement Medicaid Work Requirements Nationwide
/in Policy Charts Health Coverage and Access, Medicaid Expansion, Work Requirements Work Requirements /by Anita Cardwell*Updated August 24, 2021 In January 2018, the Centers for Medicare & Medicaid Services (CMS) issued a new policy allowing states to implement work and community engagement requirements for certain Medicaid enrollees. States must seek federal approval to require non-elderly, non-pregnant, and non-disabled adults to meet these requirements to qualify for full or partial Medicaid coverage. In February 2021, the […]
Latest Continuing Resolution Funds Six Years of CHIP
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health /by Anita CardwellYesterday, after a three-day federal government shutdown, Congress passed a continuing resolution (CR) bill that was quickly signed into law to keep the federal government operating through Feb. 8, 2018. After months of delay, Congress included new, long-term funding for the Children’s Health Insurance Program (CHIP) in the CR. Since September 2017, when consistent federal […]

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. 
























































































































































Rhode Island Looks to Auto-Enrollment to Ease Transitions from Medicaid to Marketplace
/in Health Coverage and Access, Policy Rhode Island Blogs, Featured News Home State Insurance Marketplaces /by Gia Gould and Maureen Hensley-Quinn