State-Based Marketplace Leadership
NASHP operates the State Health Exchange Leadership Network, a consortium of the state leaders and staff operating the State-based Marketplaces.
California
Jessica Altman
Executive Director
Covered California
Colorado
Kevin Patterson
Chief Executive Officer
Connect for Health Colorado
Connecticut
James Michel
Chief Executive Officer
Access Health CT
District of Columbia
Mila Kofman
Executive Director
DC Health Benefit Exchange Authority
Idaho
Pat Kelly
Executive Director
Your Health Idaho
Kentucky
Edith Slone
Division Director
Kentucky Health Benefit Exchange
Maine
Megan Garratt-Reed
Director, Office of the Health Insurance Marketplace
Maine Department of Health and Human Services
Maryland
Michele Eberle
Executive Director
Maryland Health Benefit Exchange
Massachusetts
Louis Gutierrez
Executive Director
Massachusetts Health Connector Authority
Minnesota
Nathan Clark
Chief Executive Officer
MNsure
Nevada
Ryan High
Executive Director
Silver State Health Insurance Exchange
New Jersey
Marlene Caride
Commissioner
New Jersey Department of Banking and Insurance
New York
Danielle Holahan
Executive Director
NY State of Health
Oregon
Chiqui Flowers
Administrator
Oregon Health Insurance Marketplace
Pennsylvania
Zachary Sherman
Executive Director
Pennie
Rhode Island
Lindsay Lang
Director
HealthSource RI
Vermont
Adaline (Addie) Strumolo
Deputy Commissioner
Department of Vermont Health Access
Virginia
Keven Patchett
Acting Director
Virginia Health Benefit Exchange
Washington
Pam MacEwan
Chief Executive Officer
Washington Health Benefit Exchange
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. 
