Chronic and Complex Populations
FEATURED ARTICLE
Quality Improvement Techniques to Improve Care Coordination: An Assuring Better Child Health and Development (ABCD) Webinar
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPState health agencies can catalyze the development of systems to improve care coordination between primary care and community service providers. This NASHP webinar, sponsored by The Commonwealth Fund, focuses on lessons from ABCD III states as they developed quality improvement (QI) projects in partnership with physicians and community organizations to improve care coordination for children […]
Implementing Section 2703 Health Homes: Lessons from Leading States
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPSection 2703 of the Affordable Care Act provides states with an enticing opportunity to provide health homes for chronically ill Medicaid enrollees. States are able to draw an enhanced federal match to integrate primary care with behavioral health and long-term services and supports for two years. Join Melinda Abrams of The Commonwealth Fund and state […]
Trends in Serving People with HIV/AIDS through Medicaid Managed Care
/in Policy Reports Chronic and Complex Populations /by NASHPThis report compares 1996 and 1998 survey data on states serving people with HIV/AIDS through risk-based Medicaid managed care. Looking at trends since 1996 is important because of the emergence of combination therapy – in which people take several drugs (including at least one protease inhibitor) to decrease their amount of active HIV – which […]
Directory of Risk Based Medicaid Managed Care Programs Serving Elderly People or People with Disabilities
/in Policy Reports Chronic and Complex Populations /by NASHPAs of December 1998, 37 states (including the District of Columbia) reported enrolling people who are elderly and/or have disabilities into risk-based Medicaid managed care programs. While some states have enrolled these two populations only in specialty, carve-out programs, most are now serving the elderly and disabled through comprehensive programs. This Directory provides a snapshot […]
State Assisted Living Policy: 1998
/in Policy Reports Chronic and Complex Populations /by NASHPThis study reviewed the assisted living and board-and-care policies in each of the 50 states. States reported a total of 28,131 licensed facilities with 612,063 units or beds. Over 25% of the beds are lcoated in three states: California (123,238), Florida (66,298), and Pennsylvania (62,241). Twenty-two states have existing licensing regulations using the term assisted […]
Policies for Care Coordination Across Systems: Lessons from ABCD III
/in Policy Reports Chronic and Complex Populations, Maternal, Child, and Adolescent Health /by NASHP and Neva KayeHow can states help primary care providers (PCPs) and community service providers coordinate care? In NASHP’s third Assuring Better Child Health and Development learning collaborative (ABCD III), five state teams (AR, IL, OK, OR, and MN) have piloted projects to systematize care coordination between PCPs of young children with potential developmental delay and community providers, […]
A Framework for the Development of Managed Care Contracting Specifications for Dually Eligible Adults
/in Policy Reports Chronic and Complex Populations /by NASHPA growing number of states are planning or implementing risk-based managed care programs for dually eligible adults: those who are eligible for both Medicaid and Medicare. The design of these programs is vastly more complicated than those previously implemented for AFDC beneficiaries. Eligibility for Medicare is one complicating factor, and the diversity of the target […]
Look Before You Leap Assuring the Quality of Care of Managed Care Programs Serving Older Persons and Persons with Disabilities
/in Policy Reports Chronic and Complex Populations /by NASHPSpurred by the success they perceive in managed care for women and children, states are turning to managed care delivery systems for older persons and persons with disabilities who qualify for Medicaid if they receive supplemental security income (SS1) payments or are determined to be eligible as medically needy. 1996.Sep_.assuring.quality.care_.managed.care_.older_.disabilities.pdf 1.5 MB
Managed Care for Dually Eligible Beneficiaries: Key Program Design Choices for States
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThis is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]
Managed Care, Medicaid and the Elderly: The Florida Experience
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPIncreasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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.