Author Archive for: charles-townley
About Charles Townley
Charles Townley joined NASHP in January 2011. His work primarily focuses on chronic and vulnerable populations and state payment and delivery system reforms. Specifically, most of his work includes a focus on advanced models of primary care (including patient-centered medical homes and health homes) and behavioral health integration. Prior to joining NASHP, Charles worked on both sides of the aisle in the Massachusetts General Court. As a research analyst for the Joint Committee on Public Health, Charles worked on a wide array of policy issues, including: controlled substance policy; patient safety; health care quality; malpractice and liability reform; disease prevention; and health education. Charles graduated from Boston University in May 2007 with a Bachelor of Arts degree in political science and philosophy.
Entries by Charles Townley
Strategies to Strengthen Health and Housing Partnerships Through Medicaid to Improve Health Care for Individuals Experiencing Homelessness
July 25, 2017 in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by Hannah Dorr and Charles TownleyIndividuals experiencing homelessness are disproportionately impacted by chronic medical and behavioral health conditions, and many of these individuals lack health insurance or a usual source of care. State Medicaid agencies and safety net providers are important partners in meeting the medical, behavioral health, and social service needs of individuals and families experiencing homelessness. In this […]
Physical and Behavioral Health Integration: State Policy Approaches to Support Key Infrastructure
May 9, 2017 in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Quality and Measurement /by Kitty Purington and Charles TownleyThrough the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems. Rather than adopting specific integrated care models, states may benefit from taking a broader approach that builds […]
Integrating Substance Use Disorder Treatment and Primary Care
February 16, 2017 in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Hannah Dorr and Charles TownleyAs the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]
Data, Delivery, and Decisions as Levers for Enhancing Whole-Person Care for People Living with HIV: Lessons From the Ruth M. Rothstein CORE Center
January 26, 2017 in Policy Illinois Reports, Webinars Care Coordination, Chronic and Complex Populations, HIV/AIDS, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration /by Charles TownleyIntervention, Treatment, and Prevention Strategies to Address Opioid Use Disorders in Rural Areas
September 12, 2016 in Policy North Carolina Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Health Coverage and Access, Medicaid Managed Care, Physical and Behavioral Health Integration /by Chiara Corso and Charles TownleyA Primer on Opportunities for Medicaid-Safety Net Collaboration The prevalence of substance abuse disorders in the United States has increased dramatically in the past 15 years with catastrophic consequences, especially in rural regions of the United States. Deaths and injuries from illegal opioid and heroin use are more prevalent in rural states, and death from […]
Chronic Pain Management Therapies in Medicaid: Policy Considerations for Non-Pharmacological Alternatives to Opioids
September 2, 2016 in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by Hannah Dorr and Charles TownleyAlthough most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]
Congress Passes CARA, States to Strengthen Infrastructure and Provider Capacity to Address Opioid Abuse
July 18, 2016 in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Physical and Behavioral Health Integration /by Charles TownleyCongress passed the final version of the Comprehensive Addiction and Recovery Act of 2016 (CARA) on July 13. Major provisions within CARA will expand access to overdose rescue medication (naloxone) and medication-assisted treatment of opioid use disorders. CARA authorizes or reauthorizes a number of grant programs for states to build infrastructure and provider capacity to […]
Rhode Island Becomes the Latest State to Pass Opioid Legislation in 2016
July 11, 2016 in Policy Rhode Island Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by Charles TownleyOn June 28, 2016, Rhode Island Governor Gina Raimondo signed a series of bills to address opioid misuse and abuse in the state. Rhode Island is the most recent New England State to pass such legislation this year; the regional trend began in Massachusetts when Governor Baker signed omnibus legislation back in March. A summary […]
New York Joins State-Led Fight to Combat Opioid Crisis, Passes New Legislation
July 11, 2016 in Policy New York Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health /by Charles TownleyOn June 22, 2016, New York Governor Andrew Cuomo signed a package of seven bills related to opioids and treatment for opioid addiction. The legislation, which includes recommendations from the governor’s Heroin and Opioid Task Force, is aimed at combatting the heroin and opioid crisis affecting the state. The state’s FY2017 budget includes nearly $200 […]
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































