Care Coordination
FEATURED ARTICLE
Enhancing Care Quality for Medicaid Beneficiaries Living with HIV/AIDS: New NASHP Case Studies
/in Policy New York, Wisconsin Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, HIV/AIDS, Long-Term Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health /by Chiara Corso and Rachel DonlonNASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]
Comprehensive Early Childhood Mental Health Systems to Improve Outcomes and Reduce Costs
/in Policy Illinois, Louisiana, Massachusetts, Minnesota, New York, Oregon Blogs Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by Karen VanLandeghemNearly one in five Americans has some type of diagnosable mental health disorder. With these disorders costing $201 billion in 2013, behavioral health is a critical issue for state health policymakers. Children, including very young children, can experience mental health problems, and addressing these issues early can improve outcomes and lessen costs. Approximately 15 percent […]
Connecticut and Vermont Join the Ranks of New England States Limiting Opioid Prescriptions; Congress Also Takes Steps to Address Epidemic
/in Policy Connecticut, Vermont Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health /by Chiara Corso and Charles TownleyOn May 10, 2016, Connecticut Governor Dannel Malloy signed legislation limiting most first-time opioid prescriptions to seven days (Pub. Act 16-43). The Vermont General Assembly passed a similar bill earlier this month, which will require the state’s Health Commissioner to adopt rules governing opioid prescribing. (Note: The Vermont law was passed during the final week […]
Updated HHS Guidance on Improving Health Care Access for Justice-Involved Individuals
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health /by Anita CardwellLast Thursday, the Department of Health and Human Services (HHS) released new guidance to clarify and update policies related to how states can improve access to Medicaid coverage and services for incarcerated individuals transitioning back into communities. Based on data from a newly published HHS report, currently 2.2 million individuals are incarcerated and an additional […]
Braiding and Blending Funding Streams to Meet the Health-Related Social Needs of Low-Income Persons: Considerations for State Health Policymakers
/in Policy Reports Behavioral/Mental Health and SUD, Blending and Braiding Funding, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement /by Lesa RairMedicaid beneficiaries often need support outside the scope of clinical health care in order to lead healthy lives, and states are uniquely poised to provide this support by addressing the social determinants of health. While states steward a variety of funding sources that address the needs of low-income populations, too often a Medicaid beneficiary must […]
State Delivery System and Payment Reform Map
/in Policy Maps 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, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing Cost, Payment, and Delivery Reform /by NASHPCommunity Health Workers in the Wake of Health Care Reform: Considerations for State and Federal Policymakers
/in Policy Reports Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Long-Term Care, Population Health /by Lesa RairAs states and the nation transform their health systems, many policymakers are turning to community health workers (CHWs) to tackle some of the most challenging aspects of health improvement, such as facilitating care coordination, enhancing access to community-based services, mitigating the impacts of the social determinants of health, reducing health disparities, and containing costs. In […]
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Tennessee, Washington Charts Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Housing and Health, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing /by NASHP WritersThe Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is an important component of the […]
Highlights from the Behavioral Health Preconference: It’s All about Collaboration
/in Policy Arizona, Connecticut, Massachusetts, Ohio Annual Conference, Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Lesa RairOn October 19th in Dallas, NASHP brought together a diverse group of state and federal Medicaid and mental health leaders to talk about emerging issues in the world of mental health, substance use, and recovery. True to its title, the pre-conference session “Whole Person Care: Finding Shared Solutions Across Mental Health, Substance Use, and Medicaid […]
Improving Access and Building Behavioral Health Capacity Through Telehealth and Teleconsultation: Lessons from Mississippi and New Mexico
/in Policy Mississippi, New Mexico Webinars Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by NASHP StaffDuring this webinar, attendees hear from leaders from two nationally-acclaimed programs, including the Center for Telehealth at the University of Mississippi Medical Center and Project ECHO. Discussion includes overviews of each program, including identification of best practices, lessons learned, and key takeaways for state policymakers. Audience Q&A follows.
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. 
States Use Appendix K and Emergency Waivers to Support Home- and Community-Based Services in Response to COVID-19
/in COVID-19 State Action Center Charts, Featured News Home, Maps Care Coordination, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Equity, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Salom Teshale