State Insurance Marketplaces
FEATURED ARTICLE
Don’t Take Your Eyes Off Vermont: Gobeille v. Liberty Mutual Insurance Company
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP and Alice WeissOkay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]
State Exchanges Breaking New Ground
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHP and Anne GauthierIn the throes of headlines that feed either supporters or critics of the Affordable Care Act, it is time to take a look at innovation in progress. Let’s take a look at the states that have established their own state-based exchanges (SBEs)[1] to deliver quality, affordable health care to millions and bolster the march toward […]
Tax Reconciliation Cheat Sheet
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffThe Affordable Care Act (ACA) makes health insurance coverage more affordable for many Americans by providing federal premium tax credits (PTC) to eligible individuals purchasing a qualified health plan (QHP) through a health insurance marketplace with individual income below $46,680 in 2014 (or households earning under 400% of the federal poverty line). To help make […]
Alignment Between Separate CHIP and Marketplace Issuers
/in Policy Maps CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health, State Insurance Marketplaces /by NASHP WritersNew Brief Outlines State Options Pending Supreme Court Ruling
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, State Insurance Marketplaces /by NASHP, Allison Wils, Alice Weiss and Anne GauthierIn this new issue brief, NASHP identifies considerations and policy options for states pending the outcome of King v. Burwell. A pro-King decision might end federal subsidies provided to individuals in the 34 states that used the Federally-Facilitated Marketplace to enroll in health insurance coverage, impacting about 7.3 million people. Although the outcome of the case is uncertain, states may want to […]
Federally-Facilitated Marketplace (FFM) Enrollees Receiving Premium Tax Credits (PTC)
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP*Map updated April 29, 2015 This map provides the percent of plan selections receiving premium tax credits (PTC) in each of the 34 states that use the federally facilitated marketplace, healthcare.gov. This information provides some context for the possible impact of the King v. Burwell Supreme Court decision, which may result in some or all […]
State Exchanges
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHPSince passage of the Affordable Care Act (ACA), state staff has worked diligently to provide affordable, high-quality coverage to consumers through the health insurance marketplaces. The State Health Exchange Leadership Network, informally known as Exchangers, is a project run by the National Academy for State Health Policy which provides a platform for health insurance marketplaces […]
Statement on King v. Burwell from Trish Riley, National Academy for State Health Policy Executive Director
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHP“As the Supreme Court prepares to hear oral arguments in King v. Burwell tomorrow, states are watching the Court very carefully. Sixteen states and the District of Columbia have established state-based exchanges. King’s challenge to whether the Affordable Care Act’s premium subsidies can be made available in states with exchanges run by the federal government […]
2015 State Legislative Activity: Health Insurance Exchanges
/in Policy Health Coverage and Access, State Insurance Marketplaces /by Anita Cardwell*Chart updated June 16, 2015 State legislatures have considered bills regarding health insurance exchanges each year since the Affordable Care Act (ACA) was enacted. But the upcoming U.S. Supreme Court decision in the case of King v. Burwell, which challenges whether the ACA’s premium subsidies can be made available in states with exchanges run by […]
Taxes and the ACA: What You Need to Know
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP and Allison WilsThe Affordable Care Act (ACA) makes health insurance coverage more affordable for many Americans by providing federal premium tax credits (PTC) to eligible individuals purchasing a qualified health plan (QHP) through a health insurance marketplace with individual income below $46,680 in 2014 (or households earning under 400% of the federal poverty line). To help make […]

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