Chronic and Complex Populations
FEATURED ARTICLE
Minnesota Accountable Community for Health Saves Medicaid $3.8 Million through Its Opioid Prevention Initiative
/in Policy Minnesota Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Expansion, Population Health, Social Determinants of Health /by Amy ClaryMorrison County’s Accountable Community for Health Accomplishments: Tapered 453 patients off narcotic, stimulants, and benzodiazepine prescriptions, which resulted in 540,000 fewer doses; Saved Medicaid $3.8 million by reducing these drug prescriptions; and Reduced jail time from an average 17 days to less than one in 36 surveyed patients who received medication-assisted treatment (Suboxone). *CHI St. […]
Report Highlights Effective State Strategies to Improve Lead Screening and Treatment in Children
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, CHIP, CHIP, Chronic and Complex Populations, Eligibility and Enrollment, Health Coverage and Access, Integrated for Pregnant/Parenting Women, Lead Screening and Treatment, Maternal, Child, and Adolescent Health /by NASHP WritersMore than 535,000 children in the United States under age five have high blood lead levels, and low-income and minority children who live in older housing are particularly at risk. This issue brief details the health impacts of lead toxicity in children and Centers for Medicare & Medicaid Services requirements for screening and treatment under […]
Mental Health and Opioid Crisis Programs Win Funding Hikes, Efforts to Stabilize Insurance Markets Fail
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Medicaid Expansion, Population Health, State Insurance Marketplaces /by NASHP StaffThe new $1.3 trillion budget bill that finances the federal government through September increased funding for a number of health programs that directly impact states, including rural programs to combat the opioid crisis. There were no appropriations made to stabilize Affordable Care Act (ACA) insurance markets. Under the budget, the Department of Health and Human […]
State and Federal Officials Explore Ways to Promote Healthy Child Development in a New Era
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Equity, Health System Costs, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by Carrie Hanlon and Jill RosenthalThe first years of life significantly impact long-term health and well-being and policymakers have worked hard to create initiatives that help children during this important period. Recently, the National Academy for State Health Policy (NASHP) convened state and federal leaders from agencies serving young children to discuss innovative approaches to advance healthy child development in […]
WV Medicaid Covers an Innovative and Less Costly Treatment Model for Opioid-Affected Infants
/in Policy West Virginia Blogs Behavioral/Mental Health and SUD, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Infant Mortality, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health /by Becky Normile and Carrie HanlonEach year, state Medicaid programs cover more than $1 billion to care for infants with neonatal abstinence syndrome (NAS) – a condition caused by opioid use during pregnancy. NAS often results in expensive hospital stays in order to treat the infant’s withdrawal symptoms, such as irritability, poor feeding, seizures, and respiratory distress. Earlier this month, […]
How Governors Addressed Health Care in Their 2018 State of the State Addresses
/in Policy Georgia, Hawaii, Idaho, Iowa, Massachusetts, New Hampshire, New Jersey, New Mexico, Rhode Island, South Dakota, Utah, Washington, Wisconsin, Wyoming Charts Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP StaffOverview: How the President’s Proposed FFY 2019 Budget Impacts Critical State Health Programs
/in Policy Blogs Behavioral/Mental Health and SUD, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Infant Mortality, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP StaffOn Monday, the Office of Management and Budget released the president’s FFY 2019 budget request that proposes $68.4 billion for health programs administered by the U.S. Department of Health and Human Services (HHS) – which is $17.9 billion less than 2017 funding levels. The budget proposal included an addendum designed to align the proposed White […]
How the Bipartisan Budget Act Impacts Key State Health Care Programs
/in Policy Blogs Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by NASHP StaffThe Bipartisan Budget Act of 2018, which continues government funding through March 23, 2018, addressed funding for several health care programs that heavily impact states. The temporary federal budget includes bipartisan agreement on discretionary budget caps for two years, which should help Congress put together a larger omnibus spending bill in March. The following outlines […]
NASHP Workgroup Bridges Research and Health Care Policy
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Physical and Behavioral Health Integration /by Olivia BaconNational reports show it takes 17 years[1] before medical research is put into practice by health care providers. Why does it take so long? Are there levers or tools, such as payment incentives or provider education, that state health policymakers can use to bridge that gap? The National Academy for State Health Policy (NASHP) recently […]
Virginia Cooperative Promotes Evidence-Based, Prevention Improvements in Primary Care
/in Policy Virginia Reports Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by Olivia BaconYears can pass before providers fully integrate evidence-based approaches that can saves lives and provide more cost-effective care into their practices. To speed that process, NASHP worked with Virginia’s EvidenceNOW cooperative to share findings from that initiative’s effort to promote evidence-based primary care prevention with 1,500 small- to mid-sized primary care practices in 12 states. […]
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.