Insurance Exchanges

Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future

Today, the Affordable Care Act (ACA) includes several provisions designed to reduce the cost of insurance for consumers purchasing policies on individual markets. The Administration, Congress, states, insurers, and health policy stakeholders are currently debating the fate of these cost-sharing reduction (CSRs) programs and the result could significantly alter ACA markets in 2018. NASHP reviews […]

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  • 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 […]

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  • Below, we provide enrollment information, broken out by new enrollees and re-enrollees, for states operating State-based Marketplaces (SBMs), states operating State-based Marketplaces on the federal platform (SBM-FPs), and states using the Federally-facilitated Marketplace (FFM) during the 2016-17 Open Enrollment Period (November 1, 2016-January 31, 2017). [1] This includes data from the 2017 Open Enrollment Period […]

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    August 2, 2017 | Filed under: Charts, Insurance Exchanges, State Exchanges
  • July 25, 2017 House and Senate Bills, ACA Comparison Chart (Updated) Blog: BCRA and the Byrd Rule Today, the Senate is expected to vote on a motion to bring a health care bill to the floor for debate. While it is yet uncertain which bill will be brought forward (the American Health Care Act, the […]

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  • These sheets supplement NASHP’s brief, Health Care is Local: Impact of Income and Geography on Premiums and Premium Support. Using data and modeling from the Kaiser Family Foundation, we present estimated premiums and tax credits under current law created by the Affordable Care Act (ACA) and under the American Health Care Act (AHCA), as passed by […]

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  • 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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  • State Health Policy Blog

    Earlier this spring, the Massachusetts Health Connector (Health Connector), the health insurance exchange of the commonwealth, announced that it would be joining Washington, D.C.’s, exchange, DC Health Link, in a first-of-its-kind collaboration to develop a joint platform for their small business exchanges. This partnership is an exciting example of the collaborative possibilities for states. By […]

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