Chronic and Complex Populations
FEATURED ARTICLE
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’ Recent 1115 Waiver Applications Include Provisions to Support Children during the Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Workforce Capacity /by Kate HonsbergerMore than a dozen states have recently submitted 1115 waiver applications that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic. If approved, these 1115 waivers would be retroactively to March 1, 2020, and expire “no later than 60 days after the end of the public health […]
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 […]
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.
Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
/in Policy Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Health Equity, Health IT/Data, HIV/AIDS, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Safety Net Providers and Rural Health /by Eliza Mette, Jodi Manz and Kristina LongIn response to an increase in HIV and hepatitis C virus (HCV) infections in individuals with substance use disorders (SUD), including opioid use disorders (OUD), state policymakers are employing multifaceted strategies to address this syndemic, collaborating with public and private partners to prevent the spread of infectious disease and provide access to evidence-based treatment. This report […]
Inventory of Key Family Caregiver Recommendations
/in The RAISE Act Family Caregiver Resource and Dissemination Center Council Meeting Materials and Resources, Featured Policy Home, The RAISE Family Caregiver Resource and Dissemination Center /by Wendy Fox-GrageTo assist the RAISE Act Family Caregiving Advisory Council make its recommendations, NASHP collected and analyzed about 800 recommendations from 27 key family caregiving reports written in the past decade. NASHP synthesized and inventoried the recommendations in this resource, with support from The John A. Hartford Foundation and in collaboration with the US Administration for Community Living.
States Rapidly Build their Telehealth Capacity to Deliver Opioid Use Disorder Treatment
/in COVID-19 State Action Center Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, COVID-19, Health Coverage and Access, Workforce Capacity /by Kristina Long, Jodi Manz and Eliza MetteStates are turning to telehealth to minimize direct contact between patients, providers, and other staff during the COVID-19 pandemic. For opioid use disorder (OUD) treatment, this shift represents a significant departure from how these services have been historically delivered and requires rapid organizational changes.
State Medicaid Strategies to Maintain Access to Care for Children with Special Health Care Needs during the Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Maternal, Child, and Adolescent Health /by Kate Honsberger and Karen VanLandeghemStates and the federal government are taking unprecedented steps to address the health needs of individuals impacted by COVID-19, including children and adults with chronic and complex health care conditions who are vulnerable to infection and to changes in the health care delivery system that may impact their ability to access much-needed primary and specialty […]
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 […]

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. 
























































































































































How States Are Administering Opioid Settlement Funds
/in Behavioral/Mental Health and SUD Featured News Home, Maps Behavioral/Mental Health and SUD, Opioid Use Disorder Chronic and Complex Populations /by Mia AntezzoNASHP 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.