The Supreme Court decision in the California vs. Texas case challenging the Affordable Care Act (ACA) could impact all or just a few of its policies and programs with far-reaching consequences for states. This NASHP slide deck describes the ACA’s major provisions, state implementation of the act, and potential implications if the ACA is overturned […]
Author Archive for: christina-cousart
About Christina Cousart
Christina Cousart joined NASHP in July 2010 where she has worked across a breadth of health policy topics including the health insurance marketplaces, eligibility and enrollment, consumer assistance strategies, delivery system and payment reform, health information technology (HIT), population health, and insurance market reforms. Her current project work is mainly focused on management of the State Health Exchange Leadership Network, a peer learning community of state officials working on the development and operation of health insurance marketplaces. In this role, she delivers timely technical assistance and facilitates workgroups and in-person convenings for state insurance marketplace officials. Her recent portfolio also includes work evaluating the State Innovation Model (SIM) states; advancing integration of delivery systems and HIT; and analyzing the potential for regional collaboration across states in the implementation of health insurance marketplaces.
Christina attended Wellesley College and the George Washington University School of Public Health and Health Services. She also served in AmeriCorps, where she spent her year of service in New York City conducting asthma education at the Asthma Free School Zone.
Entries by Christina Cousart
In response to COVID-19, states have made swift and unprecedented changes to enable the use of telehealth to meet the public’s need to safely access care remotely. Now, policymakers face the challenge of analyzing whether to sustain these changes as they weigh cost, privacy, and security considerations and effectiveness of remote care delivery. As officials […]
State Medicaid, children’s health insurance programs (CHIP) and health insurance marketplaces strive to prepare for an expected increase in the demand for their services as they navigate a world roiled by COVID-19, an economic downturn and ensuing budget crises, and unpredictable federal relief efforts.
COVID-19 has affected nearly every aspect of American life, including access to health insurance coverage, which is critical during a pandemic. Job losses and reductions in hours have resulted in millions losing employer coverage or the income needed to pay premiums, forcing them to join the already sizeable ranks of the uninsured. State marketplaces have […]
Last week, the Internal Revenue Service (IRS) released a proposed rule that would for the first time allow tax deductions for money spent for certain health care programs and arrangements, including direct primary care arrangements and health care sharing ministries.
The Department of Health and Human Services (HHS) has issued the final Notice of Benefit and Payment Parameters (NBPP) for 2021 — the annual rule governing health insurance plans and health insurance marketplaces. While the final rule contains several changes, it does not significantly alter automatic re-enrollment for individuals who purchase through the health insurance […]
The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) includes a Pandemic Unemployment Compensation benefit of $600 a week, which supplements traditional unemployment insurance (UI) benefits and provides an important source of additional financial support for individuals who qualify for these payments. However, as highlighted in NASHP’s April 6, 2020 blog, Federal Guidance Needed to […]
COVID-19 has upended health care systems and states are revising health insurance rules to make sure consumers can maintain their health insurance coverage and access needed health care services during the pandemic. The chart below details recent state actions that: Limit consumer out-of-pocket costs for testing, treatment and out-of-network care; Facilitate access to and delivery […]
In response to the COVID-19 epidemic, health systems are increasing their use of virtual tools and telehealth at unprecedented speed and insurers are expanding coverage for the services. These tools have great potential to help consumers access services that may be difficult to do so in-person and help physicians manage patients’ care remotely. As the […]