State Insurance Marketplaces
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Federal and State Special Enrollment Periods Increase Access to Insurance Coverage
/in Policy California, Colorado, Connecticut, District Of Columbia, Idaho, Maryland, Massachusetts, Minnesota, Nevada, New Jersey, New York, Pennsylvania, Rhode Island, Vermont, Washington Blogs, Featured News Home Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Christina CousartFederal Insurance Rule Change Proposes an Insurer/Broker Alternative to State Exchanges
/in Policy Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by Christina CousartLast month, the US Department of Health and Human Services (HHS) released its proposed 2022 Notice of Benefit and Payment Parameters, the annual rule that governs health insurance and the exchanges. Its most significant proposal is creation of a new option that allows a state to exclusively use direct enrollment by health insurers and brokers […]
State-based Marketplace Strategies for Insurance Market Stabilization and Improvement Submitted to the Biden Transition Team
/in Policy Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffThe National Academy for State Health Policy (NASHP), in consultation with state-based health insurance marketplaces leaders, has submitted a list of priority strategies to President-elect Biden’s transition team to improve marketplace operations.
NASHP Outlines Priorities for the Biden Transition Team to Improve Health Insurance Markets
/in Policy Blogs, Featured News Home Consumer Affordability, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffPresident-elect Biden has pledged to build on the Affordable Care Act (ACA) to provide more insurance choices, reduce costs, and make the health care system less complex and more accessible.
While the Supreme Court Appears Likely to Uphold the Affordable Care Act, States Still Face Uncertainty
/in Policy Blogs, Featured News Home Consumer Affordability, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Anita CardwellLast week, the US Supreme Court heard oral arguments in the case of California v. Texas about the constitutionality of the Affordable Care Act’s (ACA) individual mandate to purchase health insurance coverage, which some states are challenging because Congress eliminated the tax penalty associated with the mandate. Based on the justices’ questions during oral arguments, […]
The Biden Health Plan and States: Opportunities for Collaboration
/in Policy Blogs, Featured News Home Administrative Actions, Consumer Affordability, COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Model Legislation, Population Health, Prescription Drug Pricing, State Insurance Marketplaces, State Rx Legislative Action /by Trish RileyAs he launched his Covid-19 Task Force this week, President-elect Joe Biden moved quickly to turn his health care campaign promises into policies in preparation for entering the Oval Office in January. In addition to ending the pandemic, Biden plans to build on the Affordable Care Act (ACA) by expanding access to and affordability of […]
As SCOTUS Considers ACA’s Future, State Marketplaces Enroll Consumers amid COVID-19
/in Policy Blogs, Featured News Home Consumer Affordability, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Gia GouldAs the Supreme Court hears oral arguments today about the fate of the Affordable Care Act (ACA) in the case of California vs. Texas, state-based health insurance marketplaces (SBMs) are actively connecting consumers to health insurance coverage during the annual open enrollment period that launched Nov. 1.
Implications for States if SCOTUS Overturns or Upends the ACA
/in Policy CHIP, Consumer Affordability, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Anita Cardwell and Christina CousartThe Supreme Court decision in the California vs. Texas case challenging the Affordable Care Act (ACA) could impact all or just a few of its policies and programs with far-reaching consequences for states. This NASHP slide deck describes the ACA’s major provisions, state implementation of the act, and potential implications if the ACA is overturned […]
You Can’t Unring a Bell – Implications for States if the Supreme Court Upends the Affordable Care Act
/in Policy Blogs, Featured News Home CHIP, Consumer Affordability, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Trish RileyFor more than a decade, states have been at work implementing the Affordable Care Act (ACA). Today, to varying degrees, its provisions are hardwired into all states. If the ACA fails to survive the objections raised in the US Supreme Court case California vs. Texas, states will face significant challenges and new costs.
States Need Federal Guidance to Plan for When the Public Health Emergency Ends
/in Policy Blogs Health Coverage and Access, Health IT/Data, State Insurance Marketplaces, Workforce Capacity /by Anita CardwellWhile the federal COVID-19 public health emergency – which allows for a range of state and federal policy flexibilities in programs such as Medicaid – was recently extended, considering the significant number of pandemic-related policies that states have implemented, officials need to begin preparing now for the eventual end of the emergency. Currently, there is […]

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