Insurance 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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  • 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
  • State of the State speeches provide governors with an opportunity to highlight recent policy successes as well as outline key plans and issue areas of focus for the coming year. These speeches are generally strong indicators of governors’ main priorities and sometimes also include specific proposal suggestions and funding recommendations for deliberation by legislatures. Currently, […]

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  • The 2017 open enrollment period for individual coverage has now ended. The figures below represent the latest data on exchange enrollment for states that operate State-based Marketplaces (SBMs) or State-based Marketplaces on the federal platform (SBM-FPs). [i] “Covered California Finishes Fourth Open Enrollment with More Than 412, 000 New Consumers and Strong Participation from Young Enrollees” […]

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    February 28, 2017 | Filed under: Charts, Eligibility and Enrollment, Front Page, Insurance Exchanges