Health Coverage and Access
FEATURED ARTICLE
Final 2022 Insurance Rule Rescinds Trump Administration Policies, Establishes Special Enrollment Period for Low-Income Households
/in Health Coverage and Access Blogs, Featured News Home State Insurance Marketplaces /by Christina CousartOn September 17, the Departments of Health and Human Services (HHS) and the Treasury issued a final rule governing marketplaces and qualified health plans sold through the marketplaces in 2022. The final rule largely codifies changes proposed in June including several changes to rescind policies made under the prior administration including: Repealing prior guidance on 1332 state innovation waivers that significantly broadened the interpretation of […]
Understanding the Impact of ARPA Subsidies on State-Based Marketplace Plans
/in COVID-19 Relief and Recovery Resource Center Blogs, Featured News Home Relief and Recovery, State Insurance Marketplaces /by Maureen Hensley-Quinn, Christina Cousart and Hemi Tewarson2021 Individual Market Health Insurance Enrollment Periods
/in Policy Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Christina CousartUpdated Aug 18, 2021 This chart describes the regular and special enrollment periods when individuals may sign up for health insurance coverage through either the federal marketplace (healthcare.gov, which 36 states use) or state-operated marketplaces (used by 14 states and Washington, DC). Marketplace Original 2021 Open Enrollment Period 2021 COVID-19 Special Enrollment Period (SEP) Federally facilitated marketplace (36 states) Nov. 1 – Dec. 15, 2020 Feb. 15 – May 15, 2021* State-Operated Marketplaces California Nov. 1, 2020 – Jan. 31, 2021 Feb. 1 – May 15, 2021 and […]
New Proposed Insurance Rule Opens Enrollment Options; Rescinds Policies of the Trump Administration
/in COVID-19 Relief and Recovery Resource Center Blogs Health Coverage and Access, Relief and Recovery /by Christina CousartIn late June, the U.S. Department of Health and Human Services (HHS) issued its first proposed rule governing the health insurance markets and marketplaces. The rule includes some significant changes aimed at achieving priorities outlined in President Biden’s Executive Order to strengthen provisions within Medicaid and the Affordable Care Act (ACA). Major changes proposed by the rule are summarized below. Comments on the rule may be submitted here by July […]
Nevada Enacts a Public Option
/in Health Coverage and Access Nevada Blogs, Featured News Home Health Coverage and Access /by Adney RakotoniainaGovernor Sisolak signed legislation last week that gives Nevada the authority to establish a public option that is intended to provide consumers with comprehensive, but lower cost health insurance. The second state to enact such a law (Washington was first in 2019), Nevada is tasked with creating state-designed coverage to be administered by private insurers that are required to reduce premiums by addressing high health care costs.
Promoting Maternal and Child Health: Virginia’s Dental Benefit for Pregnant Women
/in Maternal, Child, and Adolescent Health, Policy Featured News Home, Reports Maternal, Child, and Adolescent Health, Oral Health /by Allie AtkesonMedicaid Strategies for Addressing Social Determinants of Health: Considerations from State Leaders for Improving Oral and Overall Health
/in Social Determinants of Health Blogs, Featured News Home Oral Health, Social Determinants of Health /by Allie Atkeson and Ariella LevisohnUpstream factors such as access to nutritious food, education, and transportation drive inequities in oral health and health outcomes. States are working to improve the oral and physical health of Medicaid enrollees and to reduce costs by addressing social determinants of health (SDOH) in their managed care medical and dental contracts. The National Academy for State Health Policy (NASHP) recently convened state leaders to discuss emerging opportunities for addressing SDOH related to oral health and ways to leverage existing […]
Paying Family Caregivers through Medicaid Consumer-Directed Programs: State Opportunities and Innovations
/in The RAISE Act Family Caregiver Resource and Dissemination Center Connecticut, Florida, Virginia Featured News Home, Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Salom Teshale, Wendy Fox-Grage and Kitty PuringtonFamily members provide significant amounts of care to relatives with complex needs, including those who are Medicaid enrollees.
Spotlight on Home- and Community-Based Services: New Federal Opportunities?
/in COVID-19 Relief and Recovery Resource Center Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Medicaid Managed Care, Population Health, Relief and Recovery, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Kitty PuringtonOlder adults, people with disabilities, and their family caregivers have been hard hit by COVID 19. As states reel from the pandemic’s human and fiscal toll, policymakers are increasingly looking to home- and community-based services (HCBS) to address the pressing need for alternatives to nursing home care and supporting family caregivers who can help loved […]
Michigan’s Caring for Students Program Leverages Medicaid Funding to Expand School Behavioral Health Services
/in Policy Michigan Blogs, Featured News Home Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health /by Anita Cardwell and Gia GouldDespite a federal rule change that allows states to bill Medicaid for school-based physical and behavioral health services provided to all Medicaid-enrolled students, many states struggle to overcome the persistent and complex billing challenges associated with receiving Medicaid reimbursement for delivery of these critical services. To access additional Medicaid funds to expand school-based behavioral health […]

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