Maryland has a long history of enacting statewide health reforms and 2019 was no exception with the passage of several significant reforms, including the Maryland Easy Enrollment Health Insurance Program (MEEHP), which passed with bipartisan support and was signed by Gov. Larry Hogan in June. Maryland is also implementing a new value-based plan design for health insurance marketplace plans and […]
Author Archive for: christina-cousart
About Christina Cousart
Christina Cousart joined NASHP in July 2010 where she has worked across a breadth of health policy topics including the health insurance marketplaces, eligibility and enrollment, consumer assistance strategies, delivery system and payment reform, health information technology (HIT), population health, and insurance market reforms. Her current project work is mainly focused on management of the State Health Exchange Leadership Network, a peer learning community of state officials working on the development and operation of health insurance marketplaces. In this role, she delivers timely technical assistance and facilitates workgroups and in-person convenings for state insurance marketplace officials. Her recent portfolio also includes work evaluating the State Innovation Model (SIM) states; advancing integration of delivery systems and HIT; and analyzing the potential for regional collaboration across states in the implementation of health insurance marketplaces.
Christina attended Wellesley College and the George Washington University School of Public Health and Health Services. She also served in AmeriCorps, where she spent her year of service in New York City conducting asthma education at the Asthma Free School Zone.
Entries by Christina Cousart
September was a busy time for state insurance regulators as they worked to finalize rate filings and prepare for the upcoming health insurance open enrollment season. While initial filings indicate nominal increases to individual market premiums for the 2020 plan year, insurance costs are escalating for individuals and families who receive coverage through their employers. […]
The National Academy for State Health Policy (NASHP) recently launched the Telehealth Affinity Group, composed of state policymakers, that is examining emerging evidence from the Patient-Centered Outcomes Research Institute (PCORI) into innovative uses of telehealth to transform health care delivery systems in states. State and federal policymakers are eager to explore emerging patient-centered outcomes research […]
State-based marketplace (SBM) leaders convened in Washington, DC last week to share experiences and ideas and meet with key Congressional staff in advance of this year’s open enrollment period. SBMs, which exercise total control over their health insurance marketplaces in contrast to states that use the federal marketplace, are making considerable progress in reaching and […]
Washington State made history recently with passage of Chapter 364 – a new law that is poised to revolutionize the state’s individual insurance market. The law takes a multi-pronged approach to its market redesign by: Creating a quasi-public option product for Washington’s individual market; Requiring standard plan design for plans sold on its exchange; and […]
California Gov. Gavin Newsom’s new budget has infused significant funds to make health care coverage sold through its health insurance marketplace (Covered California) more affordable and has made new subsidies available to middle-income individuals earning between 400 to 600 percent of the federal poverty level (FPL). • California’s new subsidy program assists those earning up […]
The Office of Management and Budget (OMB) is seeking public comment on possible changes to how the federal poverty measure is annually adjusted for inflation. The changes would impact individuals’ eligibility for multiple programs because the US Department of Health and Human Services uses the poverty measure to establish poverty level guidelines. A wide range […]
*Updated Oct. 4, 2019 States are at the forefront of protecting consumers from surprise medical balance billing, which occurs when consumers are billed for the balance of services they unexpectedly receive from an out-of-network provider or facility. More than half of all states have enacted some level of protections and Congress is now considering proposals […]
As Congress and the Trump Administration propose strategies to address surprise balance billing – charges for unexpected, out-of-network medical care – states have significant experience in implementing surprise billing laws that can inform the discussion. Importantly, state authority cannot protect individuals covered by self-insured plans, which are pre-empted by Employee Retirement Income Security Act (ERISA,) […]