ACA

On Friday, Oct. 13, 2017,the Trump Administration announced it would no longer make cost-sharing reduction (CSR) payments to insurers offering coverage on health insurance marketplaces. The announcement cited guidance from the US Department Justice that questioned the legality of the appropriation for these payments (for more Cost Sharing Reduction Debate: Why This Matters and How […]

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  • Publications

    Today we issue another brief in our series, Lessons from States: Questions for Policymakers, that puts a state lens on emerging proposals in the ACA repeal and replace debate. Our latest, Selling Health Insurance Across State Lines notes that over the last decade 21 states introduced legislation to sell across state lines, only five states enacted such […]

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    October 3, 2017 | Filed under: ACA, Front Page, Health Reform Hub, Publications
  • Explore the Limited Choices States Face as Washington Debates CSR Payments

    As lawmakers debate how to stabilize the individual market, one of the key sticking points is whether to fund cost-sharing reduction (CSR) payments instituted under the Affordable Care Act. CSRs subsidize insurance policies that offer lower-cost coverage to low-income consumers. This graphic offers a simple explanation of the limited choices states faced as they set rates for […]

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    October 3, 2017 | Filed under: ACA, Front Page
  • State Health Policy Blog

    The Graham-Cassidy amendment represented a radical overhaul of how health care coverage is financed and delivered, raising anew the question of federalism – what should the federal government guarantee and how much state variation should be supported? The legislation tossed most critical health care coverage and policy decisions to states without giving them sufficient time or […]

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  • State Health Policy Blog

    Time is running out for Congress to reform the nation’s health care system, and the Senate is considering two options that could impact state health care policies dramatically. The choices include a bipartisan bill to stabilize the Affordable Care Act’s (ACA) insurance markets and give states the information they need to set insurance rates for […]

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  • State Health Policy Blog

    States have a long history of using home visiting programs to deliver cost-effective interventions to vulnerable children and families, and recent federal investments have been instrumental in the expansion of evidence-based home visiting programs across the United States. Due to budget uncertainties at the state and federal level, states are exploring opportunities to maximize investments […]

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  • State Health Policy Blog

    This month, the Senate Health Education and Labor (HELP) committee began to craft a bipartisan bill to bring short-term stability to the Affordable Care Act’s (ACA) individual insurance market. The committee, led by Chairman Lamar Alexander (R-TN) and ranking member Patty Murray (D-WA), hosted a series of four hearings featuring insurance commissioners, consumer advocates, a […]

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  • State Strategies to Address Rising Prices Caused by Health Care Consolidations
    Publications

    Foreward by Trish Riley, NASHP Executive Director The debate over the future of the Affordable Care Act (ACA) and the stability of the individual health insurance markets masks a bigger issue–the underlying cost of health care. From NASHP’s Center for State Rx Drug Pricing to our work on value-based purchasing and alternative payment methods, we support states […]

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    September 5, 2017 | Filed under: 2015 Conference, 2017 Conference, ACA, Front Page, Publications, Regulation
  • State Health Policy Blog

    As Congress returns from its summer break, the country is two months away from the start of open enrollment in the Affordable Care Act’s (ACA) marketplace, leaving little time for policymakers to develop solutions for 2018. With bipartisan hearings on market stabilization scheduled, this blog examines how different approaches to calculating risk could help state […]

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  • jlaudano@nashp.org Full text of the letter is available here. Today, Executive Directors from twelve health insurance marketplaces sent a letter to leadership of the Senate Health, Education, Labor and Pensions (HELP) Committee detailing consensus strategies to bring immediate stability to the individual market. The state-based marketplaces (SBMs) and state-based marketplaces operating on the federal platform (SBM-FP) […]

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