Exchange

The Trump Administration’s effort to address drug prices surfaced unexpectedly in the Department of Health and Human Services (HHS)’s recently issued proposed annual rule that regulates state health insurance markets, including coverage sold through the Affordable Care Act (ACA) marketplaces. The proposal encourages the use of generic drugs over brand-name drugs by both health plans and enrollees […]

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  • State Health Policy Blog
    #NASHPCONF18: Policymakers Share Their Approaches to Stabilize State Individual Insurance Markets

    #NASHPCONF18: Policymakers Share Their Approaches to Stabilize State Individual Insurance Markets

    During NASHP’s recent state health policy conference, state insurance experts explored the dramatic changes that recent federal action has foisted on their individual health insurance markets. In a second report from this conference session, they highlight strategies they’ve used to stabilize markets and identify lingering challenges to insurance markets’ affordability and choice. While many state […]

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  • State Health Policy Blog

    The Administration Ends CSR Subsidy Payments — What Comes Next?

    On Friday, Oct. 13, 2017,the Trump Administration announced it would no longer make cost-sharing reduction (CSR) payments to insurers offering coverage on health insurance marketplaces. The announcement cited guidance from the US Department Justice that questioned the legality of the appropriation for these payments (for more Cost Sharing Reduction Debate: Why This Matters and How […]

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  • Twelve State-based Exchanges Outline Strategies to Stabilize Individual Market

    jlaudano@nashp.org Full text of the letter is available here. Today, Executive Directors from twelve health insurance marketplaces sent a letter to leadership of the Senate Health, Education, Labor and Pensions (HELP) Committee detailing consensus strategies to bring immediate stability to the individual market. The state-based marketplaces (SBMs) and state-based marketplaces operating on the federal platform (SBM-FP) […]

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  • State Health Policy Blog

    Unpacking the State-Based Marketplaces

    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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  • Issuers Hold Steady in State-based Exchange States

    On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

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  • Trail Blazers: States Operationalizing Federal Coverage Changes – Coverage Track

    Wednesday, October 25th 9:15AM-10:45AM Federal health policy changes are expected and states need to be ready to respond and implement new program developments quickly.This session examines the nuts and bolts of the legislative, regulatory, policy, stakeholder work, and system changes that may be required, plus potential implementation challenges for states. Speakers provide varying perspectives on […]

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    June 6, 2017 | Filed under: 2017 Conference, Exchange, Medicaid

  • End of the Trail, or New Path? Health Insurance in the 21st Century – Coverage Track

    Tuesday, October 24th 1:30PM-3:00PM Amid uncertainty over federal changes to the insurance markets, state leaders are pondering what the future holds for coverage and insurance markets. Can coverage reforms help curb rising cost trends? Will greater flexibility with plan designs lead to improved choice or lower costs? Will uniform plan designs help shape the quality […]

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    June 6, 2017 | Filed under: 2017 Conference, Exchange, Medicaid

  • Circling the Wagons: Medicaid, Exchanges, and Insurance Working Together – Coverage Track

    Tuesday, October 24th 10:00AM-11:30AM How to provide the best health coverage possible at a state and federal level is an on-going discussion among many players who do not always follow the same path, but what could happen if these players worked together? This session explores strategies to integrate Medicaid and Exchange eligibility, employ private market […]

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    June 6, 2017 | Filed under: 2017 Conference, Exchange, Medicaid

  • State Health Policy Blog

    What’s Next for the Individual Market?

    The rancor of the recent debate around repealing and replacing the Affordable Care Act (ACA), masked a point of agreement- despite progress, the individual market remains unaffordable for too many and sometimes limits plan choice. In a changing economy, more of us move from job to job, sometimes with periods of unemployment; many of us […]

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