State Exchanges

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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  • Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future
    State Health Policy Blog

    An update on CSRs – Aug. 18 Since publication of this blog, two major developments have occurred. The White House indicated that the Administration will make CSR payments for August. The Administration has not commented about future payments; the next is due Sept. 20. On Aug. 15, the Congressional Budget Office (CBO) released an analysis […]

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  • State Health Policy Blog

    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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  • Below, we provide enrollment information, broken out by new enrollees and re-enrollees, for states operating State-based Marketplaces (SBMs), states operating State-based Marketplaces on the federal platform (SBM-FPs), and states using the Federally-facilitated Marketplace (FFM) during the 2016-17 Open Enrollment Period (November 1, 2016-January 31, 2017). [1] This includes data from the 2017 Open Enrollment Period […]

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    August 2, 2017 | Filed under: Charts, Insurance Exchanges, State Exchanges
  • 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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  • State Health Policy Blog

    Congress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]

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  • State Checklist: Medicaid-Related Provisions Impacted by an ACA Repeal

    This worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other […]

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  • State Health Policy Blog

    Post-election, federal leaders are debating changes to the ACA (Affordable Care Act) and whether it will continue in light of the goals put forth by the incoming Administration. Meanwhile, open enrollment for the health insurance marketplaces is in full swing, with some states reporting increased or record enrollment figures during these first weeks of enrollment […]

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  • Publications,State Health Policy Blog

    If federal funding is not extended for the Children’s Health Insurance Program (CHIP) beyond September 2017, some children may need to transition to exchange coverage. NASHP’s new brief examines potential options and policy questions for improving exchange coverage for children in terms of both affordability and pediatric benefit adequacy. NASHP convened a group of stakeholders including […]

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  • Health Insurance Exchange Operations Chart

    As states continue to refine the operations of their health insurance exchanges, regardless of the exchange type (state-based exchange, state partnership exchange, or federally facilitated marketplace), it’s helpful to compare and contrast operational resources. This chart contains each state’s resources and forms for three distinct, and fundamentally important, areas of exchange operation: applications, appeals, and […]

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    August 3, 2016 | Filed under: Charts, State Exchanges, State Exchanges Maps and Charts