Insurance Exchanges

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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  • 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

  • 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
    Lower-Cost, Short-Term Insurance Plan Approved, But at What Cost to State Markets and Consumers?

    Lower-Cost, Short-Term Insurance Plan Approved, But at What Cost to State Markets and Consumers?

    Last week, the federal government released its final rule expanding the availability of short-term health insurance plans, which are usually less costly and do not have to cover pre-existing conditions or certain health care services. Increased enrollment in short-term plans is expected to upend states’ individual insurance markets unless states take steps to offset their […]

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  • State Health Policy Blog
    The New Association Health Plan Rule: What Are the Issues and Options for States

    The New Association Health Plan Rule: What Are the Issues and Options for States

    Last week, the Department of Labor released its final rule regulating association health plans (AHPs). The rule is part of the Trump Administration’s multi-pronged strategy to revise regulations governing AHPs, short-term insurance, and health reimbursement arrangements (HRAs) to promote health care competition and choice.     The rule is expected to reshape state insurance markets and […]

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  • State Health Policy Blog
    Ministry, Association, and Short-Term Health Plans: What’s a State to Do?

    Ministry, Association, and Short-Term Health Plans: What’s a State to Do?

    The Trump Administration is expanding the availability of alternatives to Affordable Care Act-compliant health insurance. Rules to expand association health plans and short-term limited duration health plans are imminent. So what’s a state to do to prepare consumers and insurance markets for these alternative plans? The Administration asserts these alternatives will provide choice and lower-cost […]

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  • State Health Policy Blog

    New Insurance Rules Allow States to Revise Marketplace Coverage as Rate-Filing Deadlines Near

    Last week, the US Department of Health and Human Services (HHS) released rules governing Affordable Care Act health plans in 2019 that give states the flexibility to revise what insurance plans are sold through their individual and small group marketplaces, and give consumers the option to buy “thinner” plans at lower prices. The long-awaited final […]

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