Washington State made history recently with passage of Chapter 364 – a new law that is poised to revolutionize the state’s individual insurance market. The law takes a multi-pronged approach to its market redesign by: Creating a quasi-public option product for Washington’s individual market; Requiring standard plan design for plans sold on its exchange; and […]
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
California Gov. Gavin Newsom’s new budget has infused significant funds to make health care coverage sold through its health insurance marketplace (Covered California) more affordable and has made new subsidies available to middle-income individuals earning between 400 to 600 percent of the federal poverty level (FPL). • California’s new subsidy program assists those earning up […]
The Office of Management and Budget (OMB) is seeking public comment on possible changes to how the federal poverty measure is annually adjusted for inflation. The changes would impact individuals’ eligibility for multiple programs because the US Department of Health and Human Services uses the poverty measure to establish poverty level guidelines. A wide range […]
As Congress and the Trump Administration propose strategies to address surprise balance billing – charges for unexpected, out-of-network medical care – states have significant experience in implementing surprise billing laws that can inform the discussion. Importantly, state authority cannot protect individuals covered by self-insured plans, which are pre-empted by Employee Retirement Income Security Act (ERISA,) […]
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 […]
States, as major purchasers of health care, have a compelling interest to spur primary care providers to adopt the latest research to improve the quality and cost-effectiveness of care. This new report, the third in the EvidenceNOW: Insights for State Health Policymakers Series, highlights policy levers states can use to support the adoption of evidence-based […]
Rising health care costs are an intractable problem in the United States, but states, faced with balanced budget requirements and growing voter concern, aren’t waiting for a federal solution. This report explores state initiatives to curb health care costs by: Leveraging Medicare’s well-established reimbursement rates as reference prices for state employee plans to address rising […]
Information below references federal bills developed prior to January 2019. For an updated version of this chart, click here.