Chronic and Complex Populations
FEATURED ARTICLE
New Opportunities and Continuing Challenges: A Report from the NASHP EPSDT Forum
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHPEarly access to high-quality child health care and development programs builds a foundation that ensures each child the optimum chance to grow strong physically, emotionally, and socially. Medicaid, the primary insurer for more than a quarter of all children in the United States, is the critical link to building this foundation for poor and low-income […]
The Role of State Health Policy in Multi-Sector System and Service Linkages for Young Children
/in Policy Reports Chronic and Complex Populations, Maternal, Child, and Adolescent Health /by NASHPChildren must be healthy in order to learn. Their motor skills, coordination, and overall physical health affect social-emotional and cognitive development and academic achievement. The domains of child development are interrelated, demanding a multi-sector approach to foster healthy development. Yet, cross-sector service coordination remains a challenge. Increasingly, states are recognizing that healthy development requires attention […]
Care Coordination and Linkages to Services
/in Policy Chronic and Complex Populations /by NASHP StaffAs providers conduct more screening and identify more children in need of follow-up services, the weakness of the U.S. child-serving systems and inadequacy of linkages among providers becomes increasingly apparent.* It is clear that more must be done to improve referrals and assure access to services essential as follow up to screening. Promising approaches for […]
Coordination of Care
/in Policy Chronic and Complex Populations /by NASHP StaffCare coordination is a critical element of both long term care and chronic care delivery systems. Persons with long term care needs often require services and supports financed by differing programs and provided by multiple entities. To overcome this fragmentation, states have established single entry points for accessing services, creating an umbrella under which multiple […]
Behavioral Health
/in Policy Chronic and Complex Populations /by NASHP StaffBehavioral health services–encompassing mental health and substance abuse services–are a critical need for many in the Medicaid population. NASHP studies state efforts to improve the quality and effectiveness of Medicaid mental health and addiction services. We have worked with partners such as the Substance Abuse and Mental Health Services Administration and the Centers for Medicare […]
Long Term & Chronic Care
/in Policy Chronic and Complex Populations /by NASHP StaffPersons who require assistance with daily activities over the long term due to disability or chronic health conditions often have complex needs that must be addressed by multiple providers and delivery systems. NASHP’s work in long term services and supports is aimed at assisting state policymakers to assess their current systems and advance reforms in […]
Measuring and Evaluating Developmental Services: Strategies and Lessons from the ABCD II Consortium States
/in Policy Reports Chronic and Complex Populations, Maternal, Child, and Adolescent Health /by NASHPSince 2000, the National Academy for State Health Policy (NASHP) and The Commonwealth Fund have conducted state learning consortia – in the Assuring better Child Health and Development (ABCD) initiative – dedicated to improving the delivery of child development services to young children who are Medicaid beneficiaries. The work of the eight ABCD states has […]
Emerging Practices and Policy in Medicaid Managed Care for People with HIV/AIDS: Case Studies of Six Programs
/in Policy Reports Chronic and Complex Populations /by NASHPAs treatment strategies for HIV/AIDS undergo rapid change, states struggle with the dual challenges of providing quality health care and containing costs. By June 1996, in an effort to meet those challenges, 35 states (including the District of Columbia) reported enrolling at least some people living with HIV/AIDS (PLWHIV) in their risk-based Medicaid managed care […]
The Lay of the Land: What Program Managers Need to Know to Serve People With HIV/AIDS In Medicaid Managed Care
/in Policy Reports Chronic and Complex Populations /by NASHPThis report will help state officials, advocates and consumers implement risk-based Medicaid managed care programs that meet the health care needs of people with HIV/ AIDS in cost-effective ways. 1997.May_.program.managers.serve_.hiv_.aids_.medicaid.managed.care_.pdf 3.2 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.