State Insurance Marketplaces
FEATURED ARTICLE
Selling Health Insurance Across State Lines
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Jenn JensonToday we issue another brief in our series, Lessons from States: Questions for Policymakers, that puts a state lens on emerging proposals in the ACA repeal and replace debate. Our latest, Selling Health Insurance Across State Lines notes that over the last decade 21 states introduced legislation to sell across state lines, only five states enacted such […]
Explore the Limited Choices States Face as Washington Debates CSR Payments
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersAs lawmakers debate how to stabilize the individual market, one of the key sticking points is whether to fund cost-sharing reduction (CSR) payments instituted under the Affordable Care Act. CSRs subsidize insurance policies that offer lower-cost coverage to low-income consumers. This graphic offers a simple explanation of the limited choices states faced as they set rates for […]
Ten State-Based Exchange Executives Tell Senate Leaders Graham-Cassidy Will Disrupt Insurance Markets and Prove Impossible to Implement
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Jennifer LaudanoFor Immediate Release: Sept. 25, 2017 Contact: Jennifer Laudano, 202-507-7584 jlaudano@oldsite.nashp.org WASHINGTON, DC: Today, executive directors from 10 state-operated health insurance marketplaces expressed serious concerns over the financial cuts, drastic policy changes, and dramatically altered insurance funding model proposed in the Graham-Cassidy-Heller-Johnson amendment. In a Sept. 25, 2017, letter to Senate leadership, state insurance marketplace […]
With the Clock Ticking on Health Care, the Senate Weighs Bipartisanship vs. a Repeal and Replace Revival
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, State Insurance Marketplaces /by Anita CardwellTime is running out for Congress to reform the nation’s health care system, and the Senate is considering two options that could impact state health care policies dramatically. The choices include a bipartisan bill to stabilize the Affordable Care Act’s (ACA) insurance markets and give states the information they need to set insurance rates for […]
Moving Toward Health Care Compromise: Bipartisan Hearings Take Center Stage
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsThis month, the Senate Health Education and Labor (HELP) committee began to craft a bipartisan bill to bring short-term stability to the Affordable Care Act’s (ACA) individual insurance market. The committee, led by Chairman Lamar Alexander (R-TN) and ranking member Patty Murray (D-WA), hosted a series of four hearings featuring insurance commissioners, consumer advocates, a […]
Health Reform Hub: Repeal, Replace, or Repair?
/in Policy Toolkits Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersRisky Business: How State and Federal Insurance “Risk” Calculations Could Stabilize ACA Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Corinne AlbertsAs Congress returns from its summer break, the country is two months away from the start of open enrollment in the Affordable Care Act’s (ACA) marketplace, leaving little time for policymakers to develop solutions for 2018. With bipartisan hearings on market stabilization scheduled, this blog examines how different approaches to calculating risk could help state […]
Twelve State-based Exchanges Outline Strategies to Stabilize Individual Market
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Jennifer Laudanojlaudano@oldsite.nashp.org Full text of the letter is available here. Today, Executive Directors from twelve health insurance marketplaces sent a letter to leadership of the Senate Health, Education, Labor and Pensions (HELP) Committee detailing consensus strategies to bring immediate stability to the individual market. The state-based marketplaces (SBMs) and state-based marketplaces operating on the federal platform (SBM-FP) […]
Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsAn update on CSRs – Aug. 18 Since publication of this blog, two major developments have occurred. The White House indicated that the Administration will make CSR payments for August. The Administration has not commented about future payments; the next is due Sept. 20. On Aug. 15, the Congressional Budget Office (CBO) released an analysis […]
State of Play: Latest Update on Federal Health Reform Efforts
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartAfter recent failed efforts to pass a health care repeal or replace bill, Congress spent much of last week re-grouping on a future healthcare strategy. While most current signals point to the likely end of a full ACA legislative repeal effort, there is pervasive recognition that there are issues that need to be urgently addressed […]

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