Chronic and Complex Populations
FEATURED ARTICLE
Integrating Community Health Worker Models into Evolving State Health Care Systems
/in Policy Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHPMonday, February 23, 2015 Moderator: CDR Thomas PryorUnited States Public Health Service, Center for Medicare & Medicaid Innovation Project Officer Presenters: Gail Hirsch Director, Office of Community Health Workers, Massachusetts Department of Public Health Kari ArmijoHealth Care Reform Manager, Medical Assistance Division, New Mexico Human Services Department Allie Gayheart Manager of Health Initiatives, South Carolina […]
Medical Homes & Patient-Centered Care Maps
/in Policy Maps Care Coordination, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Maternal, Child, and Adolescent Health, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by adminA Day in the Life of Nurse Planner Joan Kindt in the Minnesota Health Care Home Program
/in Policy Minnesota Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Workforce Capacity /by NASHP StaffHealth care reform goals established by the Minnesota Legislature call for all Minnesotans to have access to patient-centered care, accessible, comprehensive, and coordinated primary care. The HCH program is the path to these goals. Becoming a health care home (HCH) in Minnesota means adopting “an approach to primary care in which primary care providers, families, […]
Transforming the Workforce to Provide Better Care: The Role of Nurses in Certifying Minnesota Health Care Homes
/in Policy Minnesota Reports Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Workforce Capacity /by Mary TakachPart 4 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Minnesota Health Care Homes (HCH), a patient-centered medical home initiative, utilizes regionally-based nurse planners to ensure that HCH practices are meeting specific standards of care that aim to foster […]
A Day in the Life of Behavioral Health Nurse Care Coordinator Amber Morgan of Hennepin Health
/in Policy Minnesota Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by NASHP StaffCaring for the health care needs of vulnerable populations has inherent challenges. Doing this in an accountable care organization (ACO), where providers bear financial risk for meeting cost, quality, and patient satisfaction metrics, intensifies the challenges. When Hennepin Health launched in 2012 to serve as a safety-net ACO for Minnesota’s early Medicaid expansion population, it […]
Opportunities for Enrolling Justice-Involved Individuals in Medicaid
/in Policy Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Safety Net Providers and Rural Health /by Anita CardwellHealth insurance options now available through the Affordable Care Act (ACA) offer new opportunities to enroll individuals involved in the criminal justice system into coverage. In states that have expanded Medicaid, many newly eligible will be young, low-income males, some with involvement with the criminal justice system. Justice-involved individuals especially could benefit from coverage as […]
Transforming the Workforce to Provide Better Chronic Care: The Role of a Behavioral Health Nurse Care Coordinator in Minnesota
/in Policy Minnesota Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by Mary TakachPart 3 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Hennepin Health, a safety-net accountable care organization in Minnesota, has begun to integrate primary care into Hennepin County Mental Health Center through a behavioral health nurse care coordinator. The […]
Using Payment Policies to Support Primary Care – Behavioral Health Integration in Medicaid
/in Policy Blogs Chronic and Complex Populations /by Shayla RegmiMany states are developing and implementing strategies for integrating behavioral health with primary care. Integrated care improves patients’ access to behavioral health services, attendance at scheduled appointments, satisfaction with care, and adherence to treatment. Minority populations in particular are more likely to seek mental health treatment from primary care practitioners than from mental health specialists. […]
Care Coordination under the Medicaid Benefit for Children and Adolescents
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPTuesday, September 9, 2014: Care coordination provides a bridge across multiple systems that serve children and families, helping to ensure that a child receives additional screening, diagnosis and/or treatment as recommended by a health care practitioner. Care coordination strategies can help link providers and care settings by facilitating the arrangement of: appointments, referral forms, transportation, reminders and follow-up, and feedback reporting. This NASHP webinar provides a federal perspective from the Centers for Medicare & Medicaid Services on opportunities and promising strategies for states to coordinate care for children and adolescents enrolled in Medicaid.
Transforming the Workforce to Provide Better Chronic Care: The Role of Nurse Care Managers in Rhode Island
/in Policy Rhode Island Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachPart 1 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Chronic illnesses are responsible for more than three-quarters of health care spending and 7 out of 10 deaths in the United States—and nearly half of all Americans have at […]
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.