Chronic and Complex Populations
FEATURED ARTICLE
Managed Care for the Elderly: A Profile of Current Initiatives
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThe purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]
Identifying and Addressing Barriers to Accessing Early Intervention Services
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPEarly Intervention services can play a valuable role in promoting the healthy development of at-risk infants and young children. All too often, however, families and children who would benefit from Early Intervention services face barriers to accessing them. This Alumni webinar, sponsored by The Commonwealth Fund, focused on a new study that identifies potential barriers […]
Public Managed Care for Older Persons and Persons with Disabilities
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPMajor Issues and Selected Initiatives Interest in managed care for older persons and persons with disabilities has intensified in recent years, as states and the federal government have searched for ways to make publicly funded programs more effective and less costly. The heightened interest has stimulated a lively debate among consumers, policy makers, advocates and […]
Reducing the Cost of Institutional Care: Downsizing, Diversion, Closing and Conversion of Nursing Homes
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPMedicaid today pays for 41% of the nation’s long term care bill. Most of that spending (85%) is on institutions. As the Congress grapples with efforts to reduce Federal expenditures and balance the budget, the Medicaid program and its investment in long term care are particularly vulnerable to cuts. Indeed, Medicaid comprises nearly half of […]
The Arizona Long Term Care System
/in Policy Arizona Reports Chronic and Complex Populations /by NASHPReport 1 in a Series of State Case Studies Arizona began providing acute care services to Medicaid eligible residents in 1982 through the Arizona Health Care Cost Containment System (AHCCCS), a Section 1115 Research and Demonstraction Waiver demonstration program approved by the US Health Care Financing Administration (HCFA). Long term care services were covered under […]
Coordinating Services With and For Persons with Disabilities: A Challenge for State Government
/in Policy Reports Chronic and Complex Populations /by NASHPThis paper reflects the conversations and considerations of a focus group of 18 individuals representing persons with disabilities and their advocates and State and Federal officials. Convened to review the National Academy for State Health Policy’s recent publication, A Guide to Federal Programs for People With Disabilities, the group was invited to muse about how […]
Setting Policy for Assisted Living: Key Issues
/in Policy Reports Chronic and Complex Populations /by NASHPThis policy paper was prepared to assist state leaders in creating a viable, affordable, more user friendly alternative to nursing homes for a significant subset of the population who are now residing in or are likely in the future to enter a nursing facility if residential options are not available. To assist in preparing the […]
State Long Term Care Programs At a Glance
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThis report highlights What states have been doing to reduce their expenditures on long term care while maintaining access to needed services. In our analysis of the major strategies employed by the states we found that they fell into several categories: (1) Delivery system activities include strategies to reduce or control the number of nursing […]
How Are We Going to Pay for Long Term Care? Another Look at Long Term Care Insurance
/in Policy Reports Chronic and Complex Populations /by NASHPAlthough the debate over Medicare reform has had significant public exposure, the proposed cuts in Medicaid have received little attention. Yet these cuts could seriously impact the lives of millions of elderly citizens and their families. Medicare has done an admirable job of providing coverage for physician and hospital care, however, it does not provide […]
Transitioning to Managed Care: Medicaid Managed Care in Mental Health
/in Policy Reports Chronic and Complex Populations /by NASHPThis report reflects the discussion of nine states participating in “Transitioning to Managed Care: Medicaid Managed Care in Mental Health.” The symposium was funded by the Henry J. Kaiser Family Foundation and the federal Health Care Financing Administration (HCFA). 1997.Jun_.kaiser.hcfa_.transitioning.managed.care_.medicaid.mental.health.pdf 1.7 MB

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.