Chronic and Complex Populations
FEATURED ARTICLE
Improving the Quality of Care and Coordination of Services for Young Children—ABCD, CHIPRA and Beyond!
/in Policy Webinars Chronic and Complex Populations, Maternal, Child, and Adolescent Health /by NASHP StaffEarly identification of delays and linkage to appropriate services can improve coordination among pediatric primary health care providers and providers of mental health, early intervention, child welfare, and early care and education services and influence the course of young children’s healthy development. States are using a variety of mechanisms to develop and test interventions to […]
Linking Children to Services: Building on Community Assets to Pilot Test Improvement Strategies
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHP StaffThe five states participating in the third Assuring Better Child Health and Development (ABCD) learning consortium have gone through an extensive planning process to set the stage for implementation of interventions to improve coordination among providers serving children in pilot communities. This document describes 1) how Arkansas, Illinois, Minnesota, Oklahoma, and Oregon are building on […]
A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
/in Policy Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachIntegrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients’ physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a […]
Overcoming Barriers to Referral and Care Coordination for Children Eligible for Early Intervention Services: An ABCD Alumni Webinar
/in Policy Webinars Chronic and Complex Populations /by NASHP StaffThis webinar provided an opportunity for alumni of the Assuring Better Child Health and Development (ABCD) consortia to hear from Scott Allen, Executive Director of the Illinois Chapter of the American Academy of Pediatrics. Mr. Allen discussed lessons learned from The Commonwealth Fund grant to the Illinois chapter of the American Academy of Pediatrics, Overcoming […]
ABCD III Using Data Integration and Information Technology to Improve Care Coordination for Young Children
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHP StaffCare coordination can link children to the continuum of health services (from the primary care medical home to subspecialty services) and other needed community services (early care and education, early intervention, and family support). Data integration and health information technology and exchange can help improve communication and linkages among various kinds of providers and with […]
Forming Partnerships
/in Policy Chronic and Complex Populations /by Medical HomesForming partnerships with key players (including patients, providers and private sector payers) whose practices the state seeks to change. Alabama Patient 1st and Patient Care Networks of Alabama (PCNA): The Alabama Medicaid Agency has established working relationships for this project with the state physician associations (including the Alabama chapters of the American Academy of Pediatrics (AAP) and American […]
Making Medicaid Work for the 21st Century: Medicare and Medicaid Dual Eligibles
/in Policy Reports Chronic and Complex Populations /by NASHPOne of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve care coordination and reduce the cost of Medicare and Medicaid dual eligibles. mmw_dualeligibles.pdf 52.5 […]
State Efforts to Manage the Behavioral Health Pharmaceutical Benefit
/in Policy Chronic and Complex Populations /by NASHPThis brief discusses the hurdles states face in better managing behavioral health pharmaceuticals. In recent years, increases in cost and shifts in utilization are making psychotropic medicines one of the largest cost centers for Medicaid pharmacy programs. medicaid_behavioral_benefit.pdf 668.2 KB
Making Medicaid Work for the 21st Century: Improving Long-Term Services and Supports
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPOne of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB
Ideas for Managing Costs and Improving Care Delivery for High-Cost Medicaid Beneficiaries
/in Policy Reports Chronic and Complex Populations /by NASHPChronic care is driving the cost of the Medicaid program, and the future of insurance coverage for low-income families and children depends upon success in meeting the needs of those with chronic conditions at a cost society can afford. This paper tallies the suggestions made by a group of informants who have given substantial thought […]

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.