State Insurance Marketplaces
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How Governors Addressed Health Care in their 2020 State of the State Addresses
/in Policy Charts Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellNew Federal Rule Increases Administrative Burdens and Cost to Marketplaces
/in Policy Blogs, Featured News Home Health Coverage and Access, State Insurance Marketplaces /by Christina CousartNew regulations imposed by the US Department of Health and Human Services (HHS) require a significant change in how insurers bill consumers for health insurance premiums. The technical change: Imposes a significant administrative burden on insurers, the health insurance marketplaces, and consumers; Raises premium prices; and Risks generating confusion among consumers when they pay their […]
What States Did in 2019 to Address Health Coverage and Costs
/in Policy Blogs, Featured News Home Administrative Actions, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Newly-Enacted Laws, Prescription Drug Pricing, State Insurance Marketplaces, Work Requirements /by Sarah LanfordGeorgia Proposes New Changes to its Individual Market and Medicaid Program in Two Federal Waivers
/in Policy Georgia Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces, Work Requirements /by Anita CardwellThis spring, Georgia passed the Patients First Act authorizing the state to seek federal approval for a Section 1115 waiver to implement an alternative Medicaid expansion model and an Affordable Care Act (ACA) Section 1332 waiver to pursue a range of options affecting individual market coverage. Last week, the state released draft versions of both […]
Q&A: How Maryland Uses Multiple Policy Levers to Improve Health Coverage, Affordability, and Access
/in Policy Maryland Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartMaryland has a long history of enacting statewide health reforms and 2019 was no exception with the passage of several significant reforms, including the Maryland Easy Enrollment Health Insurance Program (MEEHP), which passed with bipartisan support and was signed by Gov. Larry Hogan in June. Maryland is also implementing a new value-based plan design for health insurance marketplace plans and […]
State Insurance Reforms Tackle Price Transparency, Rising Costs, and the Uninsured
/in Policy California, Connecticut, Nevada Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartSeptember was a busy time for state insurance regulators as they worked to finalize rate filings and prepare for the upcoming health insurance open enrollment season. While initial filings indicate nominal increases to individual market premiums for the 2020 plan year, insurance costs are escalating for individuals and families who receive coverage through their employers. […]
State-based Marketplace Leaders Share their Success and Growth with Federal Leaders
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, State Insurance Marketplaces /by Trish Riley and Christina CousartState-based marketplace (SBM) leaders convened in Washington, DC last week to share experiences and ideas and meet with key Congressional staff in advance of this year’s open enrollment period. SBMs, which exercise total control over their health insurance marketplaces in contrast to states that use the federal marketplace, are making considerable progress in reaching and […]
Multiple Factors Appear to Be Contributing to Children’s Rising Uninsured Rates
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Work Requirements /by Maureen Hensley-QuinnUS Census Bureau data released this past week revealed 8.5 percent (27.5 million people) did not have health coverage at any point during 2018 – an increase from 7.9 percent (25.6 million people) in 2017. The latest census data also affirmed fears raised after reports of declining child enrollment in Medicaid and the Children’s Health […]
State Officials Fear Final Public Charge Rule Could Deter Health Coverage Enrollment
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Healthy Child Development, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, State Insurance Marketplaces /by Maureen Hensley-Quinn and Anita CardwellThe Department of Homeland Security (DHS) recently finalized a rule that significantly changes immigration policies related to “public charge” determinations. Under long-established US immigration policies, individuals who are deemed likely to become a “public charge” and require extensive government support can be denied an adjustment of their immigration status (e.g., issued a green card) or […]
How Washington State Is Reducing Costs and Improving Coverage Value – A Q&A with its Health Benefit Exchange CEO
/in Policy Washington Blogs Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Safety Net Providers and Rural Health, State Insurance Marketplaces /by Christina CousartWashington State made history recently with passage of Chapter 364 – a new law that is poised to revolutionize the state’s individual insurance market. The law takes a multi-pronged approach to its market redesign by: Creating a quasi-public option product for Washington’s individual market; Requiring standard plan design for plans sold on its exchange; and […]

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