State Insurance Marketplaces
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#NASHPCONF18: Policymakers Share Their Approaches to Stabilize State Individual Insurance Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP StaffDuring NASHP’s recent state health policy conference, state insurance experts explored the dramatic changes that recent federal action has foisted on their individual health insurance markets. In a second report from this conference session, they highlight strategies they’ve used to stabilize markets and identify lingering challenges to insurance markets’ affordability and choice. While many state […]
Conference Presentations 2018
/in Policy Annual Conference, Blogs Behavioral/Mental Health and SUD, Blending and Braiding Funding, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, HIV/AIDS, Housing and Health, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by NASHP StaffBelow is a full list of the Conference speaker presentations.
#NASHPCONF18: State Policymakers Share Views on the Evolving Individual Insurance Markets
/in Policy Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffDuring NASHP’s 31st Annual State Health Policy Conference last week, experts and state officials assessed the dramatic sea changes that recent federal action has imposed on their individual health insurance markets, what they are doing to stabilize them, and what the future holds. Below, NASHP summarizes what panelists said about the current state of their […]
Lower-Cost, Short-Term Insurance Plan Approved, But at What Cost to State Markets and Consumers?
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffLast week, the federal government released its final rule expanding the availability of short-term health insurance plans, which are usually less costly and do not have to cover pre-existing conditions or certain health care services. Increased enrollment in short-term plans is expected to upend states’ individual insurance markets unless states take steps to offset their […]
Federal Suspension of Risk Adjustment Payments Delivers Another Hit to State Exchanges
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffThe latest challenge to the Affordable Care Act (ACA) and the stability of states’ individual markets came on July 7, 2018, when the Centers for Medicare & Medicaid Services (CMS) announced it would stop issuing risk adjustment payments pending the outcome of a challenge to the ACA program in the US District Court in New […]
Voters in Several States Will Decide Whether to Expand Medicaid this Fall
/in Policy Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Chris KukkaVoters in several states will decide whether to expand Medicaid – or preserve their expanded coverage — when they go to the polls this November. Medicaid expansion will be on Utah’s ballot, and is expected to be presented to Idaho and Nebraska voters this fall if enough signatures are collected. Montana’s Medicaid expansion is scheduled […]
Washington’s Medicaid Chief Examines the Future of Medicaid and Health Reforms
/in Policy Washington Blogs Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Quality and Measurement, State Insurance Marketplaces, Value-Based Purchasing /by NASHP WritersMaryAnne Lindeblad oversees Washington State’s Apple Health (Medicaid) program, which serves more than 1.8 million residents. She also chairs the National Academy for State Health Policy’s executive committee and is a National Association of Medicaid Directors board member. Lindeblad took time recently to talk to NASHP about the future of Medicaid and health care reform. […]
The New Association Health Plan Rule: What Are the Issues and Options for States
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffLast week, the Department of Labor released its final rule regulating association health plans (AHPs). The rule is part of the Trump Administration’s multi-pronged strategy to revise regulations governing AHPs, short-term insurance, and health reimbursement arrangements (HRAs) to promote health care competition and choice. The rule is expected to reshape state insurance markets and […]
An Early Look at Vermont’s Value-Based, Multi-Payer “Next Gen” Model, Designed to Lower Costs and Improve Population Health
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Quality and Measurement, State Insurance Marketplaces, Total Cost of Care Benchmark, Value-Based Purchasing /by NASHP WritersBy Robin Lunge, JD, MHCDS Robin Lunge is a member of Vermont’s Green Mountain Care Board, which regulates health insurance rates, hospital budgets, and accountable care organizations. In this brief, she explores how the state’s transformation from a fee-for-service payment system to a value-based, multi-payer model designed to curb health care spending and improve care […]
Ministry, Association, and Short-Term Health Plans: What’s a State to Do?
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffThe Trump Administration is expanding the availability of alternatives to Affordable Care Act-compliant health insurance. Rules to expand association health plans and short-term limited duration health plans are imminent. So what’s a state to do to prepare consumers and insurance markets for these alternative plans? The Administration asserts these alternatives will provide choice and lower-cost […]
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