State Insurance Marketplaces
FEATURED ARTICLE
State Enrollment Experience: Implementing Health Coverage Eligibility and Enrollment Systems Under the ACA
/in Policy Reports Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP, Alice Weiss and Kaitlin SheedyThe Patient Protection and Affordable Care Act (ACA) included new eligibility and enrollment requirements, which have presented states with significant implementation opportunities and challenges. Although states had choices about whether to host a health insurance exchange or expand Medicaid, the ACA required all states to make major changes to Medicaid eligibility policy, including adding mandatory […]
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 […]
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 […]
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, […]
Children’s Coverage Beyond CHIP: Policy Considerations for States
/in Policy Florida, Kentucky, West Virginia Webinars CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces /by NASHPAlthough federal funding for the Children’s Health Insurance Program (CHIP) was recently extended through FFY2017, it is unclear if CHIP will continue beyond that date. As a result, children may need to transition to other sources of coverage in the future.
Health Insurance Exchange Operations Chart
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP and Allison Wils*Chart updated June 12, 2015 As states continue to refine the operations of their health insurance exchanges, regardless of the exchange type (state-based exchange, state partnership exchange, or federally facilitated marketplace), it’s helpful to compare and contrast operational resources. This chart contains each state’s resources and forms for three distinct, and fundamentally important, areas of […]
State Experiences Designing and Implementing Medicaid Delivery System Reform Incentive Payment (DSRIP) Pools
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, State Insurance Marketplaces /by Neva KayeSeveral states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]

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