Chronic and Complex Populations
FEATURED ARTICLE
Measuring and Improving Care Coordination: Lessons from ABCD III
/in Policy Arkansas, Illinois, Minnesota, Oklahoma, Oregon Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPAs states and providers move away from siloed health care systems and toward integrated systems of care, care coordination has become a key area of focus. Through the Assuring Better Child Health and Development (ABCD) III initiative, Arkansas, Illinois, Minnesota, Oklahoma and Oregon piloted and evaluated strategies to improve care coordination among primary care providers […]
Building on the Legacy of Assuring Better Child Health and Development
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access /by NASHPDownload Presentation Slides After nearly thirteen years the Assuring Better Child Health and Development (ABCD) Program is coming to its conclusion. Despite the formal conclusion of this program, however, there is more work for states to do in promoting early childhood health and development. This final ABCD Alumni-only webinar features brief remarks from both the […]
Care Management for Medicaid Enrollees Through Community Health Teams
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachThe effective management of patients’ complex illnesses across providers, settings, and systems places extraordinary demands on primary care providers, especially those that work in resource-limited small or rural practices. Medicaid programs in some states have adopted strategies to build practice capacity to care for high-need Medicaid beneficiaries through the development of local community health teams, […]
Care Coordination: If we don't measure it, does it exist?
/in Policy Blogs Chronic and Complex Populations /by NASHPBy Carrie Hanlon June 2013 It has been said (perhaps first by William Bruce Cameron), “Not everything that can be counted, counts, and not everything that counts can be counted.” When it comes to state policy for health system performance improvement, a more accurate axiom might be, “What gets measured gets done”. Leaders rely on […]
State Strategies to Measure Care Coordination
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPCare coordination is a focal point of health care delivery reform initiatives across the country, yet there has been limited progress in measuring it, particularly for children and between primary medical care and community service providers. How can states and providers begin to measure this crucial element of care? Join speakers from CMS, NASHP, and […]
States Prepare for the Newly Insured: A Conversation about Mental Health and Substance Abuse Needs
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access /by NASHPEvidence-Based Supported Employment and Medicaid
/in Policy Blogs Chronic and Complex Populations /by NASHPBy Scott Holladay March 2013 The goal of evidence-based supported employment is to place individuals with serious mental illness in real, competitive jobs. This evidence–based practice (EBP) is highly effective, resulting in competitive employment at nearly three times the rate of other vocational services.[1] Studies comparing supported employment with day treatment have shown similar results.[2] […]
Project Scope
/in Policy Chronic and Complex Populations /by NASHPProject scope refers to a range of model design characteristics, including targeted providers, targeted beneficiary population, scope of services provided, and methodology for assigning beneficiaries to the model. Alabama Eligible Patient Population: Alabama Medicaid plans to directly contract with regional care organizations (RCOs) for the majority of the Medicaid population (approximately 800,000 beneficiaries). The […]
Maintenance of Certification: ABCD III State Efforts to Capitalize on an Incentive for Quality Improvement
/in Policy Reports Chronic and Complex Populations /by NASHPWith support from The Commonwealth Fund, five state Medicaid agencies in the third Assuring Better Child Health and Development (ABCD III) learning collaborative partnered with primary care practices and community providers to improve care coordination for young children identified with potential developmental delay. Some ABCD states developed quality improvement projects to improve care coordination that […]
Developing and Implementing the Section 2703 Health Home State Option: State Strategies to Address Key Issues
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachThe health home state option provides an enticing opportunity for states to better coordinate care for Medicaid enrollees with serious mental illness or chronic health issues. This NASHP report identifies strategies from the first four states with approved state plan amendments (MO, NY, OR, and RI) to address five key considerations that states will likely […]

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.