State Exchanges

In this new issue brief, NASHP identifies considerations and policy options for states pending the outcome of King v. Burwell. A pro-King decision might end federal subsidies provided to individuals in the 34 states that used the Federally-Facilitated Marketplace to enroll in health insurance coverage, impacting about 7.3 million people. Although the outcome of the case is uncertain, states may want to […]

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  • Since passage of the Affordable Care Act (ACA), state staff has worked diligently to provide affordable, high-quality coverage to consumers through the health insurance marketplaces. The State Health Exchange Leadership Network, informally known as Exchangers, is a project run by the National Academy for State Health Policy which provides a platform for health insurance marketplaces […]

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    March 5, 2015 | Filed under: State Exchanges
  • Renewal Strategies during the 2nd Open Enrollment Season

    During the second year of open enrollment in marketplaces, for the first time states renewed current enrollees alongside new customers. Renewing coverage for existing enrollees is essential to avoid coverage gaps, but state approaches to renewals and re-enrollment in marketplace coverage varied. This chart looks at how states handled Advanced Premium Tax Credits (APTC) and […]

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    January 24, 2015 | Filed under: Charts, State Exchanges, State Exchanges Maps and Charts
  • Publications

    The Affordable Care Act includes pediatric dental services as one of ten essential health benefits that state and federal health insurance marketplaces must offer. However, dental is treated differently from other essential health benefits, creating unique implementation challenges. With support from the DentaQuest Foundation, NASHP held an expert meeting with state and federal marketplace officials, […]

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    April 24, 2014 | Filed under: Children's Health, Oral Health, Publications, State Exchanges
  • Shared Responsibility in Consumer Assistance: Examples from Federally Facilitated and Partnership Marketplace States
    Publications

    This brief explores ways that states are sharing the responsibility of consumer assistance with the federal marketplace in three key areas: marketing and advertising initiatives, the work of navigators and other in-person assisters, and the development of a system for eligibility decision appeals. It also provides specific examples of states utilizing the Federally Facilitated Marketplace […]

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    February 13, 2014 | Filed under: Publications, State Exchanges
  • Publications

    The Affordable Care Act (ACA) expands health insurance coverage options to millions of uninsured individuals, and makes significant changes to state eligibility and enrollment processes. Many of these changes were implemented by October 1, 2013, with the beginning of the first open enrollment period for health insurance marketplaces. This brief describes states’ experiences—including challenges and […]

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    January 30, 2014 | Filed under: Eligibility and Enrollment, Publications, State Exchanges
  • State Health Policy Blog

    By Neva Kaye December 2013   The health policy community has been paying rapt attention to the challenges and successes of implementing the state and federal health insurance exchanges (aka marketplaces).  But states have a much broader agenda for improving coverage, promoting access to services, and improving the delivery of care.  In NASHP’s final blog […]

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    December 16, 2013 | Filed under: State Exchanges, State Health Policy Blog
  • Webinars

    Sharing insurance exchange functions across states is a real possibility in the near term and future. Many states are interested in the promise of cost savings and benefits to consumers and other stakeholders. On this webinar, NASHP staff will highlight findings and next steps from a study conducted for the West Virginia Offices of the […]

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    July 3, 2013 | Filed under: State Exchanges, Webinars
  • Publications

    Sharing certain insurance exchange functions across states holds promise for cost savings and other benefits to consumers, states and additional stakeholders. This NASHP report highlights findings and next steps from a study supported by the West Virginia Offices of the Insurance Commissioner, which included interviews and an in-person meeting with officials from several states and […]

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    June 21, 2013 | Filed under: Publications, State Exchanges
  • Publications

    Several of the Affordable Care Act’s (ACA) key provisions are aimed specifically at children, but much of the law focuses on covering the larger uninsured population of adults without dependent children. As states focus on implementing these ACA coverage programs and other systemic changes by January 1, 2014, it will be important that children’s coverage […]

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    June 5, 2013 | Filed under: Children's Health, Medicaid, Publications, State Exchanges