State health policymakers are eagerly waiting to see if Congress’ omnibus budget bill released this week will attempt to stabilize Affordable Care Act (ACA) insurance markets by reinstating ACA’s cost-sharing reduction (CSR) payments. An early proposal by US Sen. Lamar Alexander would fund the cost-sharing subsidies, which reduce a family’s out-of-pocket health care costs, retroactively […]
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
Last month, the departments of the Treasury, Labor, and Health and Human Services released a proposed rule that changes the definition of short-term, limited-duration insurance (STLDI) plans to make it easier to sell the plans, which do not have to adhere to Affordable Care Act (ACA) requirements, such as covering people with pre-existing conditions. This […]
While national enrollment in Affordable Care Act (ACA) marketplaces reached 11.8 million for 2018 – about 3.7 percent less than in 2017 — enrollment in states that have more control over their marketplaces grew by 0.2 percent. Meanwhile, enrollment fell by 5.3 percent in states that use the federally-facilitated marketplace, according to data released by […]
As Congress barrels toward the end of the year, several bills are in play that will have major and almost immediate ramifications for health insurance markets. They include: Tax Cuts and Jobs Act (H.R. 1) The Alexander-Murray insurance market stabilization bill The Nelson-Collins reinsurance program bill Temporary elimination of the health insurance tax (H.R. 4620) […]
With open enrollment for 2018 health insurance marketplaces underway, states and insurance companies are already pondering how to set rates and parameters for their health insurance products in 2019, especially in the wake of proposed US Department of Health and Human Services’ insurance regulations. As written, the new rules would require states to make a […]
The US Department of Health and Human Services (HHS) recently released proposed changes in its annual the rule that governs standards for issuers and the health insurance marketplaces. The annual notice is one of the most significant tools the Administration wields in shaping the health insurance markets and this proposed notice carries significant implications for […]
Last week, Sens. Lamar Alexander (TN) and Patty Murray (WA) released a bipartisan bill designed to bring short-term stability to the health insurance markets. The bill is co-sponsored by 22 senators — 11 Democrats, 11 Republicans, and one independent. While there are indications that Alexander and Murray secured the 60 votes needed for passage in […]
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 […]
After recent failed efforts to pass a health care repeal or replace bill, Congress spent much of last week re-grouping on a future healthcare strategy. While most current signals point to the likely end of a full ACA legislative repeal effort, there is pervasive recognition that there are issues that need to be urgently addressed […]