State Insurance Marketplaces
FEATURED ARTICLE
How California Is Moving the Needle on Coverage and Costs: An Interview with Covered California Leaders
/in Policy California Blogs Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartCalifornia Gov. Gavin Newsom’s new budget has infused significant funds to make health care coverage sold through its health insurance marketplace (Covered California) more affordable and has made new subsidies available to middle-income individuals earning between 400 to 600 percent of the federal poverty level (FPL). • California’s new subsidy program assists those earning up […]
New Jersey and Pennsylvania Approve Legislation to Launch State-Based Insurance Marketplaces
/in Policy New Jersey, Pennsylvania Blogs, Featured News Home Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Trish RileyState-based marketplaces (SBMs) give states more control over their local health insurance markets and consistently outperform states that use the federal marketplace with higher enrollment, more insurance plan choices for consumers, lower premium rate hikes, and a younger consumer base. These accomplishments are especially notable given recent federal policy actions that have unsettled insurance markets […]
“So You Want to Build a State-based Marketplace? Here’s How!” — Advice from Marketplace Leaders
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartStates that control their own insurance marketplaces – called state-based marketplaces (SBMs) – are leaders in providing affordability and choice, outperforming the federal marketplace on notable markers including higher enrollment, lower premium rate hikes, more participating issuers, and successfully attracting a young consumer base. These accomplishments are especially notable given recent federal policy actions that […]
Vermont Uses an Accountable Care Organization Model to Promote Developmental Screenings during Well-Child Visits
/in Policy Vermont Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Safety Net Providers and Rural Health, State Insurance Marketplaces, Value-Based Purchasing /by Megan Lent and Carrie HanlonWithout early identification and treatment of development delays, children may face long-lasting and costly consequences. With more states reporting their developmental screening Child Core Set measures and new federal initiatives promoting value-based payment for children’s health, Vermont’s innovative affordable care organization’s approach can provide valuable insights. This fact sheet describes Vermont’s strategy to prioritize developmental […]
Webinar: So You Think You Want a State-based Marketplace? Here’s How!
/in Policy District Of Columbia, Idaho, Massachusetts, Nevada Webinars Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffTwelve State-based Marketplace Leaders Express Serious Concerns about Federal Health Reimbursement Arrangement Rule Changes
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersIn an April 29, 2019 letter to the secretaries of the departments of Treasury, Labor, and Health and Human Services, 12 state-based marketplace leaders expressed serious concerns about delays in proposed federal rules that would significantly change states’ insurance markets and marketplaces in 2020. The proposed rules would impact health reimbursement arrangements (HRAs) — allowing […]
NASHP Insurance Marketplace Resources
/in Policy District Of Columbia, Massachusetts, New Jersey Toolkits Eligibility and Enrollment, Featured Policy Home, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffIs New Jersey’s Conversion to a State-Based Insurance Exchange a Harbinger?
/in Policy New Jersey Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Trish RileyStates with state-based insurance marketplaces (SBMs) have consistently outperformed states that use the federal platform in enrollment, affordability, and increased plan offerings and competition, prompting states to consider launching their own marketplaces and Congress to propose new funding to support states that want to transition. New Jersey may become the next state to convert to an […]
Individual Enrollment in Federal and State Health Insurance Marketplaces 2018-2019*
/in Policy Charts Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Maureen Hensley-QuinnRead a blog about state-based marketplace performance here and view slides comparing state-based and federally-facilitated marketplaces here. * State-based marketplaces (SBMs) design their enrollment websites, control outreach and marketing, and manage the health plans offered through the marketplace. This data came from publicly available sources or directly from the marketplace. States with federally-facilitated marketplaces (FFM) rely on […]
How the President’s Proposed Budget Impacts Critical State Health Programs
/in Policy Blogs Administrative Actions, Behavioral/Mental Health and SUD, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, State Insurance Marketplaces /by NASHP WritersThe President’s 2020 budget request proposes a 12 percent reduction in the US Department of Health and Human Services (HHS) budget, compared to 2019 federal fiscal year (FFY) funding levels. The following highlights some of the key components of the President’s proposed $87.1 billion HHS budget proposal that could impact state health programs. Affordable Care […]
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