Chronic and Complex Populations
FEATURED ARTICLE
Crisis Services for Behavioral Health Emergencies: Effectiveness, Cost-Effectiveness, and Funding Strategies
/in Policy Webinars Chronic and Complex Populations /by NASHPCrisis services for behavioral health emergencies have the potential for significant cost savings by reducing inpatient hospitalization and emergency department utilization and encouraging more appropriate use of community-based behavioral health services. Traditionally, individuals experiencing a behavioral health crisis have been initially treated in a general hospital emergency department or admitted to a hospital and then […]
"How Am I Doing?" Measuring State Health Coverage System Performance
/in Policy Webinars Chronic and Complex Populations /by NASHPEven before implementing the ACA’s coverage program requirements last year, many states used data to monitor policies and programs, make adjustments, and, in some cases, measure performance. ACA implementation has also prompted federal agency partners to create new data and performance reporting requirements for Medicaid, CHIP, and marketplace programs to allow more uniform data collection across […]
Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
/in Policy Reports Chronic and Complex Populations /by Mike Stanek, NASHP and Tess ShirasStates seeking to promote better coordination of patient care, either within Medicaid or through participation in multi-payer initiatives, will run into long-standing challenges to delivering care and promoting health in rural areas. Rural areas often experience disparities in access to care, health status, and available infrastructure relative to their urban counterparts. This brief draws from […]
Supporting Iowa Rural Provider Capacity Through Community Care Coordination Teams
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachShared community-based teams are a growing trend among states seeking to build provider capacity, especially for small and rural practices. This brief explores Iowa’s path to piloting shared community-based teams, from conception and planning to launch, and offers a framework for policy action for states and other organizations considering leading similar efforts. Iowa was one […]
Care Coordination
/in Policy Chronic and Complex Populations /by NASHPCare coordination refers to efforts by Medicaid programs to ensure that children and adolescents get the right care at the right time in the right setting by creating a bridge across multiple systems that serve children and families. States have implemented or are designing a variety of integrated health care delivery systems and medical or health home […]
EPSDT Resources to Improve Medicaid for Children and Adolescents
/in Policy Maps, Toolkits Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPNorth Carolina's IMPaCT Initiative: Enhancing Primary Care Practice Support
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThrough the Infrastructure for Maintaining Primary Care Transformation (IMPaCT) initiative, North Carolina launched two learning collaboratives to enhance its existing infrastructure for primary care practice support. North Carolina is one of four lead IMPaCT states that have expanded, evaluated, and shared their efforts to transform primary care practices. This issue brief summarizes key strategies, results […]
Strategies for Coordination Between Medicaid and Ryan White HIV/AIDS Programs
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHP, Jennifer Dolatshahi and Katharine WitgertState Medicaid programs are the primary source of health coverage for the majority of people living with HIV/AIDS (PLWHA) in the U.S. Coordination between Medicaid and Ryan White HIV/AIDS Programs (RWHAP) is integral to ensuring that PLWHA have access to comprehensive care. NASHP interviewed Medicaid and RWHAP officials in 14 states about successful coordination efforts. […]
A Medical Home Framework for Increasing Cervical Cancer Screening Rates: Best Practices for FQHCs
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThrough regular screening cervical cancer is a highly preventable disease, yet thousands of women are newly diagnosed with the cancer each year. This brief features best practices from 14 FQHCs across 7 states that have made significant strides to reduce the incidence of cervical cancer enabled by adopting core attributes of the patient-centered medical home […]
Connecting the Two Worlds: States Integrating Primary and Behavioral Health Care
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPAs states pursue payment and delivery reform to yield a more integrated delivery system, stronger connections between primary care and behavioral health care are essential. This webinar will explore challenges and opportunities to building linkages and care models that meet the needs of patients with physical and behavioral health care needs. It will also examine […]

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.