Chronic and Complex Populations
FEATURED ARTICLE
Report Highlights Medicaid Funding of Home Visiting Services for Women, Children, and Families
/in Policy Kentucky, Michigan, Minnesota, New York, Oklahoma, South Carolina, Virginia Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health, Population Health /by Alexandra King and Karen VanLandeghemHome visiting programs have a long track record of improving health and life outcomes of children and families, such as increasing school readiness and reducing hospitalizations, while generating long-term savings. States use home visiting to target interventions for some of their most vulnerable populations and utilize multiple private and public funding streams, including Medicaid, to […]
Value-Based Purchasing for Managed Long-Term Services and Supports
/in Policy Annual Conference Chronic and Complex Populations, Health Coverage and Access /by NASHP WritersTuesday, October 24th 1:30PM-3:00PM While value-based purchasing (VBP) has become fairly common for medical care, only a handful of states have adopted this model for Medicaid Managed Long-term Services and Support (MLTSS) contracts. Speakers discuss strategies their states are using to introduce VBP into MLTSS — including contracting levers, payment methods, and quality measures — […]
Strategies to Strengthen Health and Housing Partnerships Through Medicaid to Improve Health Care for Individuals Experiencing Homelessness
/in Policy Reports 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, Housing and Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by Hannah Dorr and Charles TownleyIndividuals experiencing homelessness are disproportionately impacted by chronic medical and behavioral health conditions, and many of these individuals lack health insurance or a usual source of care. State Medicaid agencies and safety net providers are important partners in meeting the medical, behavioral health, and social service needs of individuals and families experiencing homelessness. In this […]
Strengthening Health and Housing Partnerships through Medicaid to Improve Health Care for Individuals Experiencing Homelessness
/in Policy Webinars Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Housing and Health, Population Health, Social Determinants of Health /by NASHP StaffLemons or Lemonade: Leveraging the Medicaid Managed Care Rule to Improve Managed LTSS
/in Policy Annual Conference Chronic and Complex Populations, Health Coverage and Access /by NASHP WritersWednesday, October 25th 9:15AM-10:45AM Nearly half of all states now capitate Medicaid Managed Long-term Services and Supports (MLTSS), and some have achieved significant outcomes. New federal rules, such as the Medicaid managed care rule and the Home and Community Based Services rule, pose challenges, but they can also help states improve services and overcome resistance […]
Advancing Children’s Behavioral Health Through Systems Integration
/in Policy Annual Conference Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP WritersWednesday, October 25th 9:15AM-10:45AM Early life experiences profoundly impact children’s development. Mental health issues and adverse events during childhood are associated with lower educational achievement, involvement in the criminal justice system, and poorer health outcomes in adulthood. With numerous systems serving children, states are adopting cross-cutting strategies to promote children’s behavioral health and establish early […]
Body and Soul: Leading Change in Behavioral Health Integration
/in Policy Annual Conference Chronic and Complex Populations, Health Coverage and Access /by NASHP WritersTuesday, October 24th 3:30PM-5:00PM Finding effective ways to meet the behavioral health needs of the long-term services and support population presents a growing challenge to states facing uncertain budget environments. This session explores three approaches that are yielding promising results. Featured programs include a Texas initiative that uses specialized cognitive rehabilitation and substance use services […]
No Phone, No Food, No Pets: Tackling Social Determinants
/in Policy Annual Conference Chronic and Complex Populations, Population Health /by NASHP WritersTuesday, October 24th 1:30PM-3:00PM States, health plans, and provider organizations are ratcheting up efforts to address social determinants of health to improve outcomes and lower costs. Behavioral health and long-term services and support delivery systems also address social needs, emphasizing person-centered approaches to help individuals identify goals, select services, and measure outcomes. At this panel […]
Smart Homes, Smart Health: Technologies that Empower Independence
/in Policy Annual Conference Chronic and Complex Populations /by NASHP WritersTuesday, October 24th 10:00AM-11:30AM Smart home technologies have the potential to improve community living for individuals with disabilities and older adults. At this session, officials explain how these technologies help increase independence, monitor health, lower costs, and improve health outcomes. A smart home researcher provides an overview of these resources and state officials discuss use […]
Preconference: State Innovations and Interventions in America’s Opioid Crisis
/in Policy Annual Conference Chronic and Complex Populations, Maternal, Child, and Adolescent Health, Population Health /by NASHP WritersMonday, October 23rd 8:00AM-4:00PM This preconference forum is where state policymakers can learn about emerging issues and other states’ experiences in preventing and treating opioid use disorder. The sessions explore how states are working to: Identify and address social causes of opioid use disorder; Support best practices to manage chronic pain; Meet the unique needs […]

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.