Exchange

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) […]

Read More
  • State Health Policy Blog

    As policy makers debate the future of health care, the twelve state-based marketplaces (SBMs) and five state marketplaces using the federal platform (SBM-FPs) have proven themselves sustainable, solvent examples of how state flexibility can be leveraged to bridge public and private interests to improve lives and drive stable markets. As a result of these efforts, states […]

    Read More
  • On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

    Read More
  • Wednesday, October 25th 9:15AM-10:45AM Federal health policy changes are expected and states need to be ready to respond and implement new program developments quickly.This session examines the nuts and bolts of the legislative, regulatory, policy, stakeholder work, and system changes that may be required, plus potential implementation challenges for states. Speakers provide varying perspectives on […]

    Read More
    June 6, 2017 | Filed under: 2017 Conference, ACA, Exchange, Medicaid
  • Tuesday, October 24th 1:30PM-3:00PM Amid uncertainty over federal changes to the insurance markets, state leaders are pondering what the future holds for coverage and insurance markets. Can coverage reforms help curb rising cost trends? Will greater flexibility with plan designs lead to improved choice or lower costs? Will uniform plan designs help shape the quality […]

    Read More
    June 6, 2017 | Filed under: 2017 Conference, Exchange, Medicaid
  • Tuesday, October 24th 10:00AM-11:30AM How to provide the best health coverage possible at a state and federal level is an on-going discussion among many players who do not always follow the same path, but what could happen if these players worked together? This session explores strategies to integrate Medicaid and Exchange eligibility, employ private market […]

    Read More
    June 6, 2017 | Filed under: 2017 Conference, ACA, Exchange, Medicaid
  • 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 […]

    Read More
  • An Overview of ACA Provisions and Their Repeal Implications for States

    Much has been written about the impact of ACA repeal on consumers and health insurance markets. With this chart NASHP provides an overview of ACA provisions and snapshot of the implications to states if the ACA is repealed. States are the primary regulator of insurance and as such had laws in place prior to the enactment of […]

    Read More
  • Publications

    Earlier this month, the U.S. Department of Health and Human Services released its latest omnibus rule proposing a series of changes impacting insurance markets and the health insurance marketplaces. Our latest blog and accompanying memo break down a few key concerns for states as they finalize their comments due on October 6, 2016. Memo: Proposed […]

    Read More
  • This map highlights the extent of overlap in 2015 between issuers offering managed care plans in a state’s separate Children’s Health Insurance Program (CHIP) and those offering plans in health insurance marketplaces. This map updates a 2014 map showing data from the first year marketplace coverage was available. Plans offered by the same issuer in […]

    Read More
    March 10, 2015 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider Education, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials