Chronic and Complex Populations
FEATURED ARTICLE
States Race to Secure Home- and Community-Based Services during COVID-19
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, COVID-19, Health Coverage and Access, Long-Term Care, Population Health, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Wendy Fox-Grage, Salom Teshale and Paige SpradlinUpdated May 7, 2020 In the past two months, 35 states* have rapidly amended their Medicaid home- and community-based services for older adults and their family caregivers to ensure access to long-term services and supports during the COVID-19 crisis. Under new federal rules, the states applied for Medicaid 1915(c) Appendix K waivers to make temporary or […]
Toolkit: Upstream Health Priorities for Governors
/in Policy Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Palliative Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP WritersGovernors can control costs, advance their priorities, and enhance lives by improving the social and economic conditions that make up 80 percent of the factors affecting their residents’ health. Governors are uniquely positioned to maximize state resources to address the conditions affecting health by leading cross-agency and public-private collaborations, leveraging siloed state resources, and advancing evidence-based health policy approaches.
States Modify Medicaid Home- and Community-Based Waivers to Respond to COVID-19
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Chronic and Complex Populations, Community Health Workers, COVID-19, Health Equity, Long-Term Care, Physical and Behavioral Health Integration, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Wendy Fox-GrageStates are working rapidly to ensure that individuals with complex medical conditions and their families have access to necessary home- and community-based services during the coronavirus (COVID-19) crisis. Under new federal rules, states can now temporarily amend programs serving Medicaid enrollees using long-term services and supports through waiver and state plan amendment applications. The US […]
States Use Federal Waivers to Expand Health Care Resources to Confront COVID-19
/in Policy Blogs, Featured News Home CHIP, Chronic and Complex Populations, Eligibility and Enrollment, Health Coverage and Access, Long-Term Care, Medicaid Expansion, State Insurance Marketplaces, Workforce Capacity /by NASHP StaffAcross the nation, states are responding to the coronavirus (COVID-19) pandemic using flexibility permitted by federal waivers and maximizing their resources as they work collaboratively with municipalities, health plans, hospitals, and marketplaces to address the severity of the COVID-19 epidemic within their borders. The federal government has offered Medicaid waivers to give states critically-needed flexibility […]
Webinar: Family Caregiving Policies and Innovations
/in The RAISE Act Family Caregiver Resource and Dissemination Center Webinars 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 StaffFamily caregivers provide an estimated $470 billion per year in unpaid care and are a critical component for states seeking to support older adults and individuals with complex needs stay in their homes and communities.
Request for Proposals to Conduct Listening Sessions for the RAISE Family Caregiving Advisory Council
/in The RAISE Act Family Caregiver Resource and Dissemination Center Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, Council Meeting Materials and Resources, Health Coverage and Access, Long-Term Care, Population Health, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by NASHP StaffStates Feature Strategies to Better Integrate Care for Dual-Eligible Beneficiaries
/in Policy Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement /by Kitty PuringtonMany states already leverage Dual Eligible Special Needs Plans (D-SNPs ) to better manage care for individuals enrolled in both Medicare and state Medicaid programs. Recent changes to federal regulation, stemming the Bipartisan Budget Act of 2018, are expected to make D-SNPs more attractive for states seeking to better integrate care for this population. The […]
State Policy Innovations to Support Family Caregivers
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Eliza Mette and Kitty PuringtonAs the country ages, states recognize the importance of caregivers and are developing new initiatives to support and sustain their critical role in helping relatives, friends, and neighbors age in place. The recent passage of the Recognize, Assist, Include, Support, and Engage Family Caregivers (RAISE) Act, a federal strategy to support family caregivers, brings new […]
Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas
/in Policy Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health, Workforce Capacity /by Neva Kaye and Kristina LongThis toolkit highlights state initiatives to help older rural adults age in place by increasing services that help people remain in their homes, expanding and professionalizing the caregiver workforce, improving transportation access and services, and making delivery system reforms within Medicaid programs. Download the toolkit. Introduction Rural areas across the nation have higher concentrations of […]
States Take Action to Improve Health through Housing
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health /by Amy ClaryOn a single January night in 2018, approximately 553,000 people in the United States experienced homelessness, either sleeping on the street or in a variety of shelters, and those numbers have been gradually increasing since 2016. The risk of homeless also looms large for many who are housing insecure, including 25 percent of renters nationwide […]
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