Payment and Delivery Reform
FEATURED ARTICLE
New Program Helps State Medicaid Programs Close an Immunization Disparity Gap
/in Policy Blogs CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Healthy Child Development, Immunization, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Megan LentState Medicaid programs play a vital role in protecting public health by ensuring that children receive all of their recommended immunizations. If all children born in 2009 were fully immunized, for example, it would prevent 42,000 early deaths and 20 million cases of disease, while saving the country more than $13.5 billion in direct health […]
How Governors Addressed Health Care in Their 2018 State of the State Addresses
/in Policy Georgia, Hawaii, Idaho, Iowa, Massachusetts, New Hampshire, New Jersey, New Mexico, Rhode Island, South Dakota, Utah, Washington, Wisconsin, Wyoming Charts Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP StaffOverview: How the President’s Proposed FFY 2019 Budget Impacts Critical State Health Programs
/in Policy Blogs Behavioral/Mental Health and SUD, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Infant Mortality, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP StaffOn Monday, the Office of Management and Budget released the president’s FFY 2019 budget request that proposes $68.4 billion for health programs administered by the U.S. Department of Health and Human Services (HHS) – which is $17.9 billion less than 2017 funding levels. The budget proposal included an addendum designed to align the proposed White […]
How the Bipartisan Budget Act Impacts Key State Health Care Programs
/in Policy Blogs Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by NASHP StaffThe Bipartisan Budget Act of 2018, which continues government funding through March 23, 2018, addressed funding for several health care programs that heavily impact states. The temporary federal budget includes bipartisan agreement on discretionary budget caps for two years, which should help Congress put together a larger omnibus spending bill in March. The following outlines […]
States Await Federal Action on Critical Health Care Safety Net Funding
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Safety Net Providers and Rural Health /by Rachel DonlonOne out of twelve Americans and one out of six adults and children covered by Medicaid and the Children’s Health Insurance Program (CHIP) receive their care at health centers funded in part by the federal Health Center Program. Funding uncertainty for this program and two other federal safety net programs — the National Health […]
NASHP Workgroup Bridges Research and Health Care Policy
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Physical and Behavioral Health Integration /by Olivia BaconNational reports show it takes 17 years[1] before medical research is put into practice by health care providers. Why does it take so long? Are there levers or tools, such as payment incentives or provider education, that state health policymakers can use to bridge that gap? The National Academy for State Health Policy (NASHP) recently […]
Bracing for an Uncertain 2018, States Can Apply the Flexibility and Innovation Learned in 2017
/in Policy Blogs Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Model Legislation, Newly-Enacted Laws, Prescription Drug Pricing, Quality and Measurement, State Rx Legislative Action, Value-Based Purchasing /by Anita CardwellThe federal political and funding uncertainties that affected state health insurance coverage in 2017, including the potential repeal of the Affordable Care Act (ACA), are expected to reverberate through 2018. But this year, state health care policymakers have some lessons learned about the value of state flexibility and innovation as they navigate another tumultuous year. […]
Virginia Cooperative Promotes Evidence-Based, Prevention Improvements in Primary Care
/in Policy Virginia Reports Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by Olivia BaconYears can pass before providers fully integrate evidence-based approaches that can saves lives and provide more cost-effective care into their practices. To speed that process, NASHP worked with Virginia’s EvidenceNOW cooperative to share findings from that initiative’s effort to promote evidence-based primary care prevention with 1,500 small- to mid-sized primary care practices in 12 states. […]
A Glimpse at Kentucky’s Newly Approved Medicaid Work Requirement Waiver
/in Policy Kentucky Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Work Requirements /by Anita CardwellLast week, for the first time the Centers for Medicare & Medicaid Services (CMS) approved a Medicaid waiver application that includes work and community engagement requirements as a condition of Medicaid eligibility for certain enrollees. Approval of Kentucky HEALTH’s Medicaid waiver proposal, which will run through Sept. 30, 2023, came one day after CMS released […]
Overview of Medicaid’s New Work and Community Engagement Option for States
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Work Requirements /by Anita CardwellLast week, the Centers for Medicare & Medicaid Services (CMS) issued guidance outlining a new policy that allows states to implement work and community engagement requirements for certain Medicaid enrollees. States would be permitted to seek federal approval to require non-elderly, non-pregnant adults who are not eligible for Medicaid due to a disability to participate […]
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. 
State Delivery System and Payment Reform Map
/in Policy Maps Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing Cost, Payment, and Delivery Reform /by NASHP