Health Coverage and Access
FEATURED ARTICLE
Retail Enrollment Centers
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffWith the ACA’s introduction of open enrollment periods for health coverage programs, the time was right for innovative outreach models to reach new populations. Retail enrollment centers (also called “pop-up retail shops”) were one outreach and enrollment tool developed by states that has shown early promising results. In the first two years of ACA open […]
Managed Care Notice of Proposed Rulemaking
/in Policy Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPOn May 26, the Centers for Medicare & Medicaid Services (CMS) released a notice of proposed rule making (NPRM) that, once adopted as final regulation, represents the first major update to the rules governing Medicaid managed care since 2002. Since this time, Medicaid managed care has expanded in both scope and nature, with a considerable […]
A Conversation with State Officials on Medicaid Adult Dental Coverage
/in Policy Colorado, Iowa, Washington Webinars Essential Health Benefits, Health Coverage and Access, Oral Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHPOral health is an important part of overall health, however, access to dental coverage for low-income adults remains a challenge, particularly since these benefits are optional for state Medicaid programs. In this webinar, Medicaid officials from Colorado, Iowa, and Washington—three states that have recently taken action on their adult dental benefits—will share insights on important factors in the decision to add, reinstate, or introduce adult dental benefits; how adult dental benefits fits into the larger health reform discussion in each state; successes and challenges each state has faced since implementation; and future policy considerations.
Adult Dental Benefits in Medicaid: Recent Experiences from Seven States
/in Policy Reports Essential Health Benefits, Health Coverage and Access, Oral Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHP and Keerti KanchinadamOral health is an important part of overall health, however, access to dental coverage for low-income adults remains a challenge, particularly since these benefits are optional for state Medicaid programs. This brief summarizes policy lessons from seven states (California, Colorado, Illinois, Iowa, Massachusetts, Virginia, and Washington) that have recently added, reinstated, or enhanced their Medicaid […]
What Governors Are Saying About King v. Burwell
/in Policy Blogs, Charts Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHPLast week’s ruling in King v. Burwell affirmed the provision of tax-subsidies through the federally-facilitated marketplace (FFM), a decision which may have affected over 6.4 million Americans currently receiving subsidies in the 34 states that have opted for the FFM model. The ruling has asserted the place of the Affordable Care Act (ACA), with state […]
Vermont Gets its Day in Court on ERISA: Supreme Court Agrees to Hear Gobeille v. Liberty Mutual Next Term
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, Value-Based Purchasing /by NASHP and Alice WeissThe Supreme Court granted certiorari in Gobeille v. Liberty Mutual, a case brought by Vermont challenging the Second Circuit Court of Appeals’ ruling on ERISA preemption that bars the state from requiring self-insured employer-sponsored health plans to submit claims data to Vermont’s all-payer claims database (APCD). In doing so, the Supreme Court is providing Vermont […]
Supreme Court Protects Coverage, Avoids Crisis for State Insurance Markets
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPThe following is a statement from NASHP Executive Director Trish Riley regarding the Supreme Court decision on King v. Burwell. “With their decision today, the Supreme Court has protected coverage for 6.4 million Americans and avoided a crisis for states and their insurance markets, had the insurance subsidies been eliminated. The Court recognized the ACA […]
New Mexico’s State-Based Marketplace: An Emerging Model
/in Policy New Mexico Reports Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP and Tess ShirasThe Supreme Court’s ruling in King v. Burwell could have a significant impact on states. If the Supreme Court finds for the petitioners in King v. Burwell, states with Federally-Facilitated Marketplaces (FFMs), and possibly State Partnership Marketplaces (SPMs), may have to adopt a new model that qualifies as a State-Based Marketplace (SBM) to maintain access to the […]
Maine Takes Steps Towards Becoming First State to Legislate Back-up Plan for King v. Burwell
/in Policy Maine Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPAs we get closer to a decision on King v. Burwell, attention is turning to the 34 states without a state-based exchange. To date Maine has come closest to enacting a law, in the event of a decision for the plaintiff, with LD 1344, “An Act to Protect Maine Consumers in the Individual Health Insurance […]
King v. Burwell Has Been Decided, But There Is Still Work For States To Do
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHPThe Supreme Court has ruled on the case, and affirmed the provision of tax-subsidies through the federally-facilitated marketplace (FFM), a decision potentially effecting more than 6.4 million Americans currently receiving subsidies in the 34 states. NASHP has released materials to help states as they prepare to take the next steps as they continue ACA implementation, […]
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