Chronic and Complex Populations
FEATURED ARTICLE
State Eligibility Rules and Assessment Instruments: Implications for People with Alzheimer’s Disease
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHPThe rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]
Managing Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls
/in Policy Reports Chronic and Complex Populations /by NASHPStates have demonstrated that it is possible to improve care for the elderly and contain costs at the same time. Notable examples of this success are the creative home- and community-based waiver and state-funded programs operating in Wisconsin, Oregon and Washington, which have shown that people who are nursing home certifiable can be given the […]
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 […]
Building Medical Home Neighborhoods through Community-Based Teams: Lessons from Three States with Emerging Programs
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPCommunity-based teams can help medical home providers offer primary care that is coordinated, whole-person oriented, and integrated with local community resources. Nine states are now making payments to community-based practice support teams, and others are exploring possibilities for launching teams in the near future. Webcast attendees will hear from program leaders in Alabama, Michigan, and […]
Oklahoma’s Web Portal: Fostering Care Coordination Between Primary Care and Community Service Providers
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by Larry HinkleThis is the second in the series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This new brief focuses on the web-based referral and tracking system (“web portal”) that Oklahoma has built into its pre-existing Preventive Services Reminder System. The state designed this web portal to improve care coordination for children with […]
Building Electronic Information-Sharing Systems to Support Care Coordination in Illinois
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP and Larry HinkleThis is the first in a series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This brief focuses on electronic information-sharing systems that Illinois is building or adapting to improve care coordination for children with or at risk of developmental delays. Illinois is poised to improve care coordination by implementing an electronic […]
Improving Care Coordination and Service Linkages to Support Healthy Child Development: Early Lessons and Recommendations from a Five-State Consortium
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPThis report summarizes early findings from the current Assuring Better Child Health and Development (ABCD III) learning collaborative of five states. Arkansas, Illinois, Minnesota, Oklahoma, and Oregon are testing models to strengthen linkages and care coordination between pediatric primary care providers and community-based providers of early intervention, mental health, public health, and early care and […]
Supporting Behavioral Health for Older Adults: State Medicaid Strategies
/in Policy Webinars Chronic and Complex Populations /by NASHPDownload the slides (PDF) The special behavioral health needs of older adults are a growing concern for state Medicaid programs. In meeting this challenge, states are frequently turning to existing state Medicaid options to provide cost effective, specialized services and supports for older adults with behavioral health needs. On this webinar, funded by the Substance […]
Coordinating Care for Young Children and Beyond: Early Lessons and Implications from Leading States
/in Policy Webinars Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPStates participating in the Assuring Better Child Health and Development (ABCD) III initiative are implementing new strategies to improve care coordination and service linkages to support healthy child development. A number of early lessons have emerged from the initiative with implications for young children and other populations. This webinar, supported by The Commonwealth Fund, will […]
Improving the Lives of Young Children: Opportunities for Care Coordination and Case Management for Children Receiving Services for Developmental Delay
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffThis brief, written by Carrie Hanlon and produced by the Urban Institute ,examines states’ Medicaid and CHIP policy choices and new opportunities under health reform and other federal legislation to develop a well-coordinated system of care for children receiving Early Intervention (EI) and other ongoing services. State examples in the paper draw significantly from NASHP’s […]

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.