ACA

Accounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting in […]

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  • Publications

    The American Health Care Act (AHCA) proposes a significant change in how and to whom premium tax credits are dispersed, proposing a flat rate adjusted only by age. The Affordable Care Act (ACA) bases its premium tax credit calculation on three factors: age, income and local cost of insurance premiums. While there has been extensive […]

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  • County-by-County Premium Variation
    Maps

    Health Insurance Marketplace Second Lowest Cost Silver Plan by County, 2017 (Calculated for 40-year old individual, non-smoker, based on 2017 insurance premiums) The map below illustrates county-by-county premium variation in states for the second-lowest cost silver plan offered through the health insurance marketplaces in 2017. This map corresponds with our brief: Health Care is Local: Impact […]

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  • Publications

    In signaling that it will craft its own health reform proposal, the U.S. Senate opens the door for new approaches to address cost, coverage, and access. In tandem, state officials are assessing the impact of potential changes and weighing their options. The National Academy for State Health Policy (NASHP) recently “took the pulse” of state […]

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  • A statement from NASHP Executive Director Trish Riley “Focusing on the amendments to the AHCA diverts attention from the underlying legislation. Included there are significant cuts to coverage programs. Flexibility is not a synonym for savings. While state flexibility and the added funding for risk mitigation could create more efficiency and stimulate innovation, by itself […]

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    May 4, 2017 | Filed under: ACA, Front Page, News & Media, Press Release
  • State Health Policy Blog

    The urgency to stabilize the individual markets is palpable in the states. Insurers will begin filing preliminary rates for 2018 next month and are developing those rates in a period of uncertainty. Will cost sharing reductions continue? Will there be some help to stabilize the market, calm jittery insurers and assure that consumers in every […]

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    April 18, 2017 | Filed under: ACA, Blog Posts, Front Page, Maine, State Health Policy Blog
  • State Health Policy Blog

    The rancor of the recent debate around repealing and replacing the Affordable Care Act (ACA), masked a point of agreement- despite progress, the individual market remains unaffordable for too many and sometimes limits plan choice. In a changing economy, more of us move from job to job, sometimes with periods of unemployment; many of us […]

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    March 28, 2017 | Filed under: ACA, Blog Posts, Exchange, Front Page, State Health Policy Blog
  • State Health Policy Blog

    Congressional action to repeal and replace the Affordable Care Act (ACA) is on the fast track. The administration and GOP leaders have outlined a three-pronged effort to reform healthcare beginning with passage of the American Health Care Act (AHCA). Last night, Congress released Manager’s Amendments to the AHCA, inclusive of a series of policy and technical […]

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    March 21, 2017 | Filed under: ACA, Blog Posts, Front Page, State Health Policy Blog
  • Webinars

    Wednesday, March 29, 2017 3:00 pm – 4:00 pm ET View the webinar Download the slides Do you have to make coverage decisions, design delivery system change, and/or implement new delivery models while ensuring quality? Research evidence, including Comparative Effectiveness Research (CER) and Patient-Centered Outcomes Research (PCOR), are valuable tools for state health policymakers to […]

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    March 15, 2017 | Filed under: ACA, Webinars, Webinars
  • State Health Policy Blog

    Quick Summary of the Alaska Reinsurance Plan Yesterday, Health and Human Services (HHS) Secretary Tom Price issued a letter to governors encouraging them to take advantage of Sec. 1332 State Innovation Waivers under the Affordable Care Act (ACA) and cited Alaska ‘s 1332 waiver request to HHS as an example. Alaska’s waiver seeks federal funds […]

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    March 14, 2017 | Filed under: ACA, Front Page, Insurance Exchanges, State Health Policy Blog