Payment and Delivery Reform
FEATURED ARTICLE
Case Study: How Minnesota Uses Medicaid Levers to Address Maternal Depression and Improve Healthy Child Development
/in Policy Minnesota Reports Behavioral/Mental Health and SUD, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP WritersDespite evidence that maternal depression is quite common and can negatively impact young children’s development, it is often undiagnosed and untreated. Since the rate of maternal depression is disproportionately higher in low-income women, Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. With support from the David and Lucile […]
Using Evidence to Achieve Effective State Health Policy
/in Policy Webinars Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement /by Olivia BaconWhat’s Next for the Individual Market?
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersThe rancor of the recent debate around repealing and replacing the Affordable Care Act (ACA), masked a point of agreement- despite progress, the individual market remains unaffordable for too many and sometimes limits plan choice. In a changing economy, more of us move from job to job, sometimes with periods of unemployment; many of us […]
An Update on the Three Prongs of Health Reform
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffCongressional action to repeal and replace the Affordable Care Act (ACA) is on the fast track. The administration and GOP leaders have outlined a three-pronged effort to reform healthcare beginning with passage of the American Health Care Act (AHCA). Last night, Congress released Manager’s Amendments to the AHCA, inclusive of a series of policy and technical […]
State Strategies for Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Expansion, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Hannah DorrSubstance use disorder affects an estimated 20.8 million people in the United States,[i] however, national survey data show that fewer than 10 percent of individuals with an alcohol use disorder and 20 percent of individuals with an opioid use disorder receive treatment for the condition.[ii],[iii] Individuals battling substance use disorder may not perceive a need […]
CMS Seeks Input on State Innovations in Pediatric Alternative Payment Models
/in Policy Blogs CHIP, CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Quality and Measurement /by NASHP StaffHealth care delivery system innovations in Medicaid have primarily focused on adult populations as states seek to improve the quality of care and control costs for beneficiaries with chronic and complex health care needs. Many innovations in child-serving systems have been integrated into broader state reforms for adults and through Centers for Medicaid and Medicare […]
Medicaid’s Role in Prevention, Population Health, and Building a Culture of Health at the State Level
/in Policy Webinars Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP WritersHHS Invites More 1332 Waiver Requests Citing Alaska
/in Policy Alaska Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersQuick Summary of the Alaska Reinsurance Plan Yesterday, Health and Human Services (HHS) Secretary Tom Price issued a letter to governors encouraging them to take advantage of Sec. 1332 State Innovation Waivers under the Affordable Care Act (ACA) and cited Alaska ‘s 1332 waiver request to HHS as an example. Alaska’s waiver seeks federal funds […]
Snapshot: State Leaders Talk AHCA
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by State LeadersOn March 7, NASHP issued a chart summarizing how the American Health Care Act, passed out of House committees the day before, differed from the Affordable Care Act (ACA). In addition, NASHP held a summit with state leaders to discuss those changes and how they might affect states. These leaders represented the diversity of states […]
The Prevention and Public Health Fund — Lessons from States; Questions for Policymakers
/in Policy Florida, Louisiana, Pennsylvania, Texas, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Jill RosenthalThe American Health Care Act, which proposes to repeal and replace the Affordable Care Act (ACA), would dismantle the Prevention and Public Health Fund (PPHF). States received over $625 million from the PPHF in fiscal year 2016,[i] and stand to lose more than $3 billion over five years if it is repealed.[ii] The bill would […]
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