Insurance Exchanges

States that control their own insurance marketplaces – called state-based marketplaces (SBMs) – are leaders in providing affordability and choice, outperforming the federal marketplace on notable markers including higher enrollment, lower premium rate hikes, more participating issuers, and successfully attracting a young consumer base. These accomplishments are especially notable given recent federal policy actions that […]

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  • NASHP Insurance Marketplace Resources

    State-based health insurance marketplaces (SBMs) have emerged as successful models in delivering health insurance to consumers. They consistently outperform other states that use the federal platform in areas of enrollment, affordability, and increased plan offerings and competition. Their flexible structure allows SBMs to focus marketing and outreach efforts and promote policies that generate more health […]

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    April 8, 2019 | Filed under: Insurance Exchanges

  • State Health Policy Blog

    Is New Jersey’s Conversion to a State-Based Insurance Exchange a Harbinger?

    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 […]

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  • 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 […]

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

  • State Health Policy Blog

    How the President’s Proposed Budget Impacts Critical State Health Programs

    The President’s 2020 budget request proposes a 12 percent reduction in the US Department of Health and Human Services (HHS) budget, compared to 2019 federal fiscal year (FFY) funding levels. The following highlights some of the key components of the President’s proposed $87.1 billion HHS budget proposal that could impact state health programs. Affordable Care […]

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  • State Health Policy Blog

    State-based Exchange Directors Share their Marketplace Successes with Congress

    On March 5 and 6, 2019, state-based exchange directors convened in Washington, DC for peer-to-peer discussions and meetings with Congressional staff and federal officials, hosted by the National Academy for State Health Policy (NASHP). The meeting has become an important annual event for the state-based exchanges – which provide the infrastructure, websites, and customer support […]

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    March 11, 2019 | Filed under: Front Page, Insurance Exchanges, State Health Policy Blog

  • State Health Policy Blog

    State Exchange Leaders Express Concern about Potential Rule Changes

    Today, 13 state-based marketplace directors submitted a joint letter to the US Department of Health and Human Services responding to its request for comment on possible changes to state insurance rules that could eliminate automatic re-enrollment and change cost-sharing reduction policies by 2021. The directors expressed concern that potential changes curtailing those policies would, “create […]

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    February 19, 2019 | Filed under: Front Page, Insurance Exchanges, State Health Policy Blog

  • State Health Policy Blog
    Deadline Looms for State Comments on Fed’s Latest Insurance Rules

    Deadline Looms for State Comments on Fed’s Latest Insurance Rules

    After a delay, the Department of Health and Human Services (HHS) has issued its proposed annual rule regulating state health insurance markets, including coverage sold through the Affordable Care Act (ACA) marketplaces. View NASHP’s chart highlighting the rule’s provisions that impact states here. The deadline to submit comments on the rule is Feb. 19, 2019. […]

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  • State Health Policy Blog

    Federal Rule Delay Impacts States’ and Insurers’ 2020 Plans

    State regulators are already working to develop guidance and rules that will determine health insurance plans’ benefits and costs in 2020. However, states lack critical information to make updated calculations because the federal government has not yet released its 2020 Actuarial Value (AV) Calculator. Why is the AV calculator important? AV is used to sort […]

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    January 15, 2019 | Filed under: Front Page, Insurance Exchanges, State Health Policy Blog

  • State-Based Marketplaces Open for Business

    Enrollment is still open in some states and coverage continues across the nation Washington, DC – On the heels of the Texas federal district court ruling against the Affordable Care Act (ACA), the National Academy for State Health Policy (NASHP) convened state health marketplace directors for reaction. They stressed the ACA remains the law of the […]

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    December 19, 2018 | Filed under: Front Page, Insurance Exchanges, Press Release