Eligibility and Enrollment

States with state-based insurance marketplaces (SBMs) have consistently outperformed states that use the federal platform in enrollment, affordability, and increased plan offerings and competition, prompting states to consider launching their own marketplaces and Congress to propose new funding to support states that want to transition. New Jersey may become the next state to convert to an […]

Read More
  • Individual Enrollment in Federal and State Health Insurance Marketplaces 2018-2019*

    Read a blog about state-based marketplace performance here and view slides comparing state-based and federally-facilitated marketplaces here. * State-based marketplaces (SBMs) design their enrollment websites, control outreach and marketing, and manage the health plans offered through the marketplace. This data came from publicly available sources or directly from the marketplace. States with federally-facilitated marketplaces (FFM) rely on […]

    Read More
    April 1, 2019 | Filed under: Charts, Eligibility and Enrollment, Insurance Exchanges

  • State Health Policy Blog
    Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration

    Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration

    Should states integrate their health insurance and human services eligibility and enrollment systems? Some state officials are weighing this question now that their revamped, Affordable Care Act (ACA) health coverage systems have been operational for several years and most of the early, initial glitches have been repaired. However, there are multiple factors to consider, some […]

    Read More
  • State Health Policy Blog

    Emerging Themes in Proposed State Medicaid Waivers

    Under the current administration, the Centers for Medicare and Medicaid Services (CMS) has signaled a willingness to evaluate new types of Medicaid proposals from states. Specifically, in March of this year CMS indicated that the agency would consider Medicaid waiver applications that include programs to connect individuals to employment or incorporate features of private market […]

    Read More
  • State-Specific Medicaid Program Changes

    The following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]

    Read More
  • Alternative Models of Medicaid Expansion: Is the Juice Worth the Squeeze? – Coverage Track

    Tuesday, October 24th 3:30PM-5:00PM State officials with both short- and long-term experience managing Medicaid expansion waivers share insights about what works well when administering enrollee premiums and healthy behavior incentives. They also examine their states’ anticipated goals and why they’ve had to modify their models since implementation. The session features states that have operated their […]

    Read More
    June 6, 2017 | Filed under: 2017 Conference, Eligibility and Enrollment, Medicaid

  • State Health Policy Blog

    The Clock is Ticking as We Enter a Critical Time for the Future of CHIP

    Federal funding for the Children’s Health Insurance Program (CHIP) is set to end this September, and without Congressional action, states will soon confront significant fiscal challenges. If states exhaust their federal CHIP funds, those with separate CHIP programs can cap enrollment and take steps to close their CHIP programs. States that operate Medicaid expansion CHIP […]

    Read More
  • The State of State Health Policy: Governors’ 2017 State of the State Addresses

    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, […]

    Read More
  • Latest Data on SBEs & SBM-FPs Enrollment

    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” […]

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

  • State Health Policy Blog

    CHIP Coverage is Important for Pregnant Women Too

    While the importance of the Children’s Health Insurance Program (CHIP) for children has been widely documented, it is also important to remember that states can and many do use CHIP to provide coverage to low-and moderate-income pregnant women. With federal-funding for CHIP due to run out by the end of this federal fiscal year (September […]

    Read More