Author Archive for: nashpStaff
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Entries by NASHP Staff
Priority Area 1: Be Strategic with Health Insurance Exchange
June 22, 2010 in Policy Health Coverage and Access /by NASHP StaffThe insurance exchange will be the exclusive vehicle for individuals and families to obtain subsidized insurance coverage, and it may also become a place where many individuals and firms purchase coverage without subsidies. As such, the insurance exchange presents each state with the opportunity to organize the chaotic and inefficient small group and individual insurance […]
Regulate the Commercial Health Insurance Market Effectively
June 22, 2010 in Policy /by NASHP StaffThe federal law creates many new standards for health insurance underwriting and rating practices. Primary responsibility for enforcing most of those standards falls to the states. While insurance regulation is not a new state function, most states will be expected to dramatically increase their scrutiny of insurance rates and rate increases. Insurance regulation requires a […]
Electronic Enrollment of Newborns into Medicaid: Insights from Oklahoma
June 21, 2010 in Policy Reports /by NASHP StaffThis issue brief highlights the state of Oklahoma, which recently implemented an electronic enrollment system for newborn children in its hospitals. By replacing a paper-based enrollment process with an electronic system, Oklahoma has been able to improve efficiency and program analysis, streamline billing, facilitate the establishment of medical homes, and reduce administrative costs. Electronic Enrollment […]
Priority Area 10: Demand Quality and Efficiency from the Health Care System
June 17, 2010 in Policy /by NASHP StaffThe American health care system is the most expensive in the world. While delivering technically excellent care in many instances, it also has tremendous documented failures, including overuse of certain procedures, poor management of chronic conditions, excessive and duplicative use of diagnostic tests, avoidable errors that lead to harm and death, and expensive, wasteful administrative […]
Priority Area 9: Engage the Public in Policy Development and Implementation
June 17, 2010 in Policy /by NASHP StaffThe public remains confused about how health reform will affect them. The large number of people eligible for Medicaid and CHIP but not enrolled demonstrates that simply creating opportunities for coverage does not mean people will take advantage of them. Fundamentally, health reform can only succeed if it is more about culture and norms than […]
Priority Area 8: Pursue Population Health Goals
June 17, 2010 in Policy /by NASHP StaffThe ultimate goal of the health care system is to improve and maintain people’s health and functional status. Population health goals create a bridge between public health and personal health, because population health goals are only attainable through the coordinated efforts of both systems. The prevention and public health components of the federal law represent […]
Priority Area 7: Use Your Data
June 17, 2010 in Policy /by NASHP StaffData is the engine of improvement. The American health care system stands out relative to other sectors of the economy and relative to the health systems of other nations as operating with limited data. Its roots are paper medical records, payment methods that are treated as trade secrets, and fragmented delivery systems and payers, each […]
Priority Area 6: Focus on the Dually Eligible
June 17, 2010 in Policy /by NASHP StaffPeople eligible for both Medicare and Medicaid account for 42 percent of total Medicaid spending. This group of frail elders and a subset of people with disabilities experiences poorly coordinated care and high costs. Improvements in care for those who are dually eligible has long been a priority for states. The federal law creates new […]
Priority Area 5: Attend to Benefit Design
June 17, 2010 in Policy /by NASHP StaffBenefit design has a powerful effect on access to and utilization of services—particularly for the low and moderate income people most affected by health reform. Traditional design features such as copayments, deductibles, and benefit limits are blunt instruments. Newer concepts of evidence-based benefit design are more sophisticated. For example, some plans have eliminated cost-sharing for […]
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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. 























































































































































