Issue Briefs , Reports | Jan 8, 2016

A Look at Marketplace Models: How Can They Help States Achieve Their Goals?

Wakely Consulting Group and KPMG

The recently released Proposed Payment Notice for 2017 formalizes a fourth model of marketplace – State-Based Marketplace/Federal Platform. Along with State Based Marketplaces, State Partnership Marketplaces and the Federally Facilitated Marketplace, states have a range of choices for what their Marketplace looks like. A key question for states will be how these different models help to achieve coverage goals. This issue brief written by State Network Technical Assistance Experts at Wakely Consulting Group and KMPG digs into the different models and how they stack up against a set of common goals for states.


Expert Perspectives

March 14, 2025

Recent Federal Marketplace Proposal Imposes New Requirements for States and Consumers

On March 10, 2025, the Centers for Medicare & Medicaid Services released a proposed regulation that makes several policy and operational changes to the Affordable Care Act Marketplaces and insurance rules. This expert perspective reviews provisions of the proposed rule to assess their impact on State-Based Marketplaces and state insurance regulators.

Medicaid Cuts and the States: Tracking State-Specific Estimates of the Impacts of Proposed Changes

Congress is considering a variety of federal policy changes that will have significant impacts on the Medicaid program, widely expected to reduce enrollment and federal Medicaid funding to states. A variety of state-level estimates have been released, which can be helpful for states as they consider how various policy proposals might impact their Medicaid programs. This expert perspective highlights state agencies that have estimated and quantified the potential impacts of various proposals on enrollment and spending. SHVS will continue to regularly monitor published estimates from states and update this expert perspective.