Health Insurance Marketplaces

NACHC Publications:

Navigating the Health Insurance Marketplace: Health Centers and Consumer Assistance Programs: Supplemental Report-2014 State Update (January 2015)

Model Language for FQHC Contracting and Payment in the Exchanges, Promising Practices #14(September 2014)

Third Party Payments and Cost Sharing Discounts: Key Issues for Health Centers, Emerging Issues #8 (September 2014) Also see updated info in our blog post.

Navigating the Health Insurance Marketplace: Community Health Centers and Consumer Assistance Programs, Supplemental Report (August 2013)

Health Insurance Exchanges: Key Issues for Community Health Centers (May 2013)

Medicaid Premium Assistance and Health Insurance Exchanges (May 2013)

Navigating the Health Insurance Marketplace: Community Health Centers and Consumer Assistance Programs, State Policy Report #43 (April 2013)

Reaching and Enrolling Kids and Families, Promising Practices #7 (May 2011)

Health Insurance Exchanges: Powers and Issues (September 2010)


Federal Guidance:

[See Regulatory Affairs for Proposed Rules and Comments from NACHC.]

CMS/CCIIO Frequently Asked Questions on Exchanges, Market Reforms and Medicaid (December 10, 2012)

CMS Essential Health Benefits in the Medicaid Program (related content), SMDL#12-003, ACA#21 (November 20, 2012)

CCIIO Letter to NACHC re: FQHC Payment and Contracting (June 8, 2012)

CMS/CCIIO General Guidance on Federally-facilitated Exchanges (May 2012)

CMS State Exchange Implementation Questions and Answers (November 29, 2011)


Links to State Legislation:

State Actions to Implement Health Insurance Exchanges (National Conference of State Legislatures)

State Health Exchange Profiles (Kaiser Health Reform Source)


Other Resources:

Lessons Learned from Children’s Coverage Programs: Outreach, Marketing, and Enrollment – NASHP (August 2012)

Building a Relationship between Medicaid, the Exchange and the Individual Insurance

Market -NASI/RWJF (January 2012)

The Role of Exchanges in Quality Improvement – RWJF (September 2011)

Medicaid’s Role in the Health Benefits Exchange: A Road Map for States – NASHP/RWJF (March 2011)

Enrollment Policy Provisions in the Patient Protection and Affordable Care Act – Families USA (December 2010)

Community-Based Nonprofit Medicaid Plans and the New Health Insurance Exchanges: Opportunities and Challenges – Academy Health/SCI (October 2010)