State Insurance Marketplaces
FEATURED ARTICLE
Should Maine’s Invisible High Risk Pool Law be the Model to Address Market Stability Nationally?
/in Policy Maine Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersThe urgency to stabilize the individual markets is palpable in the states. Insurers will begin filing preliminary rates for 2018 next month and are developing those rates in a period of uncertainty. Will cost sharing reductions continue? Will there be some help to stabilize the market, calm jittery insurers and assure that consumers in every […]
What’s Next for the Individual Market?
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersThe rancor of the recent debate around repealing and replacing the Affordable Care Act (ACA), masked a point of agreement- despite progress, the individual market remains unaffordable for too many and sometimes limits plan choice. In a changing economy, more of us move from job to job, sometimes with periods of unemployment; many of us […]
An Update on the Three Prongs of Health Reform
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffCongressional action to repeal and replace the Affordable Care Act (ACA) is on the fast track. The administration and GOP leaders have outlined a three-pronged effort to reform healthcare beginning with passage of the American Health Care Act (AHCA). Last night, Congress released Manager’s Amendments to the AHCA, inclusive of a series of policy and technical […]
HHS Invites More 1332 Waiver Requests Citing Alaska
/in Policy Alaska Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersQuick Summary of the Alaska Reinsurance Plan Yesterday, Health and Human Services (HHS) Secretary Tom Price issued a letter to governors encouraging them to take advantage of Sec. 1332 State Innovation Waivers under the Affordable Care Act (ACA) and cited Alaska ‘s 1332 waiver request to HHS as an example. Alaska’s waiver seeks federal funds […]
Snapshot: State Leaders Talk AHCA
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by State LeadersOn March 7, NASHP issued a chart summarizing how the American Health Care Act, passed out of House committees the day before, differed from the Affordable Care Act (ACA). In addition, NASHP held a summit with state leaders to discuss those changes and how they might affect states. These leaders represented the diversity of states […]
The Prevention and Public Health Fund — Lessons from States; Questions for Policymakers
/in Policy Florida, Louisiana, Pennsylvania, Texas, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Jill RosenthalThe American Health Care Act, which proposes to repeal and replace the Affordable Care Act (ACA), would dismantle the Prevention and Public Health Fund (PPHF). States received over $625 million from the PPHF in fiscal year 2016,[i] and stand to lose more than $3 billion over five years if it is repealed.[ii] The bill would […]
Empowering and Protecting Consumers: ERISA Thwarts State Innovation
/in Policy Reports Health Coverage and Access, Health System Costs, Hospital/Health System Oversight, Prescription Drug Pricing, State Insurance Marketplaces, State Rx Legislative Action /by Trish Riley and Erin Fuse Brown, JD, MPHAs the national debate over the ACA continues, this publication looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]
Latest Data on SBEs & SBM-FPs Enrollment
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffThe 2017 open enrollment period for individual coverage has now ended. The figures below represent the latest data on exchange enrollment for states that operate State-based Marketplaces (SBMs) or State-based Marketplaces on the federal platform (SBM-FPs). [i] “Covered California Finishes Fourth Open Enrollment with More Than 412, 000 New Consumers and Strong Participation from Young Enrollees” […]
Health Savings Accounts — Lessons from States; Questions for Policymakers
/in Policy Indiana, Michigan Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersAs Congress continues its Affordable Care Act (ACA) repeal effort, and evolving replacement options are in the spotlight, NASHP continues to track issues that appear in replacement proposals and provide state perspectives. In past weeks we’ve looked through a state lens at high-risk pools and selling insurance across state lines. Today we tackle another element of possible ACA replacement proposals: health savings accounts […]
Health Reform Hub: Repeal, Replace, or Repair?
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffVisit the updated Health Reform Hub here! ___________________________________________________________________________________ House and Senate Bills, ACA Comparison Chart A Crosswalk of ACA Provisions with Proposed Language Under the House American Health Care Act and the Senate Better Care Reconciliation Act. The National Academy for State Health Policy (NASHP) has released an updated chart and accompanying fact sheets that reflect a revision to […]

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