Chronic and Complex Populations
FEATURED ARTICLE
States Work to Improve Long-Term Care in the Age of COVID-19
/in The RAISE Act Family Caregiver Resource and Dissemination Center Ohio, Washington, Wisconsin Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, COVID-19, Health Equity, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Paige SpradlinNursing home residents account for at least one-third of COVID-19 deaths, and this disparity reveals numerous problems with infection control in institutional settings. As a result, many states are rethinking and restructuring their long-term services and supports (LTSS) programs. A recent National Academy for State Health Policy (NASHP) annual conference session explored what states have […]
Public Insurance Financing of Home Visiting Services: Insights from a Federal/State Discussion
/in Policy Blending and Braiding Funding, Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Integrated Care for Children, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Taylor Platt and Karen VanLandeghemNational Family Caregivers Month Twitter Chat hosted by NASHP
/in The RAISE Act Family Caregiver Resource and Dissemination Center Chronic and Complex Populations, Council Meeting Materials and Resources, Long-Term Care, State Resources, The RAISE Family Caregiver Resource and Dissemination Center The RAISE Family Caregiver Resource and Dissemination Center /by NASHP StaffThe National Academy for State Health Policy (NASHP) is hosting a Twitter chat to recognize National Family Caregivers Month. Across the nation, state health programs depend on caregivers who provide critical support to help relatives, friends, and neighbors stay safely in their homes while contributing $470 billion in unpaid health care services each year. Family […]
Medicaid Supports for Family Caregivers
/in The RAISE Act Family Caregiver Resource and Dissemination Center Featured News Home, Reports Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Council Meeting Materials and Resources, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Program Design, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Neva Kaye and Salom TeshaleFamily caregivers help Medicaid enrollees safely stay in their own homes, prevent or delay hospital and nursing facility stays, and provide personal care services that Medicaid agencies would otherwise need to pay for. However, there are strong indications that family caregivers need additional supports, which would benefit the Medicaid enrollees in their care. Recognizing family […]
Stand by Me: Supporting Long-Term Services and Supports Workers
/in The RAISE Act Family Caregiver Resource and Dissemination Center Oregon, Tennessee Chronic and Complex Populations, Health Coverage and Access, Health Equity, Long-Term Care, Population Health, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Wendy Fox-GrageDirect care workers play a critical role in the success of states’ long-term services and supports (LTSS) systems, but faced with COVID-19, low wages, and few advancement opportunities, states struggle to retain this workforce. Recently, state leaders came together virtually at National Academy for State Health Policy’s annual conference to share strategies to improve recruitment […]
NASHP Resource Hub: State Strategies to Build and Support Palliative Care
/in Policy Reports, Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity Chronic and Complex Populations /by Kitty Purington, Wendy Fox-Grage and Salom TeshalePalliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness.
States are uniquely positioned to influence how Americans think about access, and experience palliative care.
#NASHPCONF20 Highlighted States’ Creativity in Addressing Equity, Bolstering Health Care, and Preserving Safety Nets during COVID-19
/in #NASHPCONF20 Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Consumer Affordability, Cost, Payment, and Delivery Reform, COVID-19, Health Coverage and Access, Health Equity, Health System Costs, Long-Term Care, Making the Case for Action, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by Trish RileyLast week, over 1,000 state health policy leaders and others from every state joined the National Academy for State Health Policy’s (NASHP) first-ever virtual state health policy conference to discuss a path forward during an unrelenting pandemic and profound budget challenges. As one state official noted, “This was a chance to lift my eyes from […]
Six States’ Strategies to Providing Home Health Services to Children Enrolled in Medicaid
/in Medicaid Managed Care Connecticut, Delaware, Iowa, Maryland, Ohio, Washington Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Community Health Workers, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Long-Term Care, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, Special Populations and Services, Workforce Capacity /by Olivia Randi and Kate HonsbergerTo improve the quality of services for children and youth with special health care needs (CYSHCN) and reduce health care costs, states are implementing strategies to improve access to home health services. Of particular importance as states confront COVID-19-related budget challenges, home health services can help to avoid costly emergency department use, hospitalizations, and institutional […]
Washington Official Details her State’s Response Plan to COVID-19 in Nursing Homes
/in COVID-19 State Action Center Washington Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Long-Term Care, Population Health /by Chris KukkaIn early March, Washington State experienced the nation’s first COVID-19 nursing home* outbreak, and the state quickly developed a response plan to address outbreaks at other nursing homes. Candace Goehring is director of Residential Care Services in Washington State’s Department of Social and Health Services (DSHS), the agency that regulates and performs complaint investigations into […]
States Launch Rapid Response Teams to Curb COVID-19 Outbreaks in Nursing Homes
/in COVID-19 State Action Center Maryland, Massachusetts Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Housing and Health, Long-Term Care, Population Health, Workforce Capacity /by Chris KukkaIn several states, nursing home staff and residents make up nearly half of residents who have died from COVID-19, including 55 percent of deaths caused by the coronavirus in Massachusetts. While hospitals’ personal protective equipment (PPE) shortages have been highlighted, less attention has been paid to the critical need for PPE and infection control expertise […]

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. 
























































































































































NASHP Partners with West Health to Strengthen State Aging Policies
/in Chronic and Complex Populations, Policy Blogs, Featured News Home Long-Term Care /by NASHP Staff