State Insurance Marketplaces
FEATURED ARTICLE
Emerging Themes in Proposed State Medicaid Waivers
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Anita CardwellUnder the current administration, the Centers for Medicare and Medicaid Services (CMS) has signaled a willingness to evaluate new types of Medicaid proposals from states. Specifically, in March of this year CMS indicated that the agency would consider Medicaid waiver applications that include programs to connect individuals to employment or incorporate features of private market […]
State-Specific Medicaid Program Changes
/in Policy Arizona, Arkansas, Indiana, Kentucky, Maine, Massachusetts, Wisconsin Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Anita CardwellThe following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]
Estimated AHCA and ACA Premiums and Tax Credits by State, Income, Age, and Select Counties
/in Policy Charts Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffThese sheets supplement NASHP’s brief, Health Care is Local: Impact of Income and Geography on Premiums and Premium Support. Using data and modeling from the Kaiser Family Foundation, we present estimated premiums and tax credits under current law created by the Affordable Care Act (ACA) and under the American Health Care Act (AHCA), as passed by […]
How might premium costs differ within states under the ACA and AHCA ?
/in Policy Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffAccounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting in […]
Health Care is Local: Impact of Income and Geography on Premiums and Premium Support
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP WritersThe American Health Care Act (AHCA) proposes a significant change in how and to whom premium tax credits are dispersed, proposing a flat rate adjusted only by age. The Affordable Care Act (ACA) bases its premium tax credit calculation on three factors: age, income and local cost of insurance premiums. While there has been extensive […]
County-by-County Premium Variation
/in Policy Charts, Maps Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersNASHP Leaders’ Summit: Views on the Current Congressional Debate
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffIn signaling that it will craft its own health reform proposal, the U.S. Senate opens the door for new approaches to address cost, coverage, and access. In tandem, state officials are assessing the impact of potential changes and weighing their options. The National Academy for State Health Policy (NASHP) recently “took the pulse” of state […]
Braiding Funds to House Complex Medicaid Beneficiaries: Key Policy Lessons from Louisiana
/in Policy Louisiana Reports Blending and Braiding Funding, Chronic Disease Prevention and Management, Essential Health Benefits, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Expansion, Population Health, Social Determinants of Health, State Insurance Marketplaces /by Tina KartikaState health policymakers know that improving health and controlling costs sometimes requires investment outside the bounds of medical care. With support from the Robert Wood Johnson Foundation, this brief explores Louisiana’s permanent supportive housing program. The program, administered jointly by the state’s Medicaid agency and housing authority, is a cross-agency partnership that braids funding to […]
Focus on AHCA Amendments Misses Underlying Legislation
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairA statement from NASHP Executive Director Trish Riley “Focusing on the amendments to the AHCA diverts attention from the underlying legislation. Included there are significant cuts to coverage programs. Flexibility is not a synonym for savings. While state flexibility and the added funding for risk mitigation could create more efficiency and stimulate innovation, by itself […]
How Massachusetts SHOP-ed for a New Small Group Marketplace
/in Policy District Of Columbia, Massachusetts Blogs Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersEarlier this spring, the Massachusetts Health Connector (Health Connector), the health insurance exchange of the commonwealth, announced that it would be joining Washington, D.C.’s, exchange, DC Health Link, in a first-of-its-kind collaboration to develop a joint platform for their small business exchanges. This partnership is an exciting example of the collaborative possibilities for states. By […]

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