Payment and Delivery Reform
FEATURED ARTICLE
The State of State Health Policy: Governors’ 2017 State of the State Addresses
/in Policy Charts Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffState of the State speeches provide governors with an opportunity to highlight recent policy successes as well as outline key plans and issue areas of focus for the coming year. These speeches are generally strong indicators of governors’ main priorities and sometimes also include specific proposal suggestions and funding recommendations for deliberation by legislatures. Currently, […]
Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Hannah Dorr and Charles TownleyAs the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]
Health Savings Accounts — Lessons from States; Questions for Policymakers
/in Policy Indiana, Michigan Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersAs Congress continues its Affordable Care Act (ACA) repeal effort, and evolving replacement options are in the spotlight, NASHP continues to track issues that appear in replacement proposals and provide state perspectives. In past weeks we’ve looked through a state lens at high-risk pools and selling insurance across state lines. Today we tackle another element of possible ACA replacement proposals: health savings accounts […]
Primary Care Provider Burnout: What States Need to Know and What They Can Do About It
/in Policy Virginia Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP WritersImproving Health through Housing: Three Tips For State Policymakers
/in Policy Blogs Chronic Disease Prevention and Management, Community Benefit, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by NASHP WritersState and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. Numerous studies show that housing and housing supports can help vulnerable populations improve and maintain health while lowering hospital and other costs for state and local governments. Addressing health and housing can also further state […]
High Risk Pools Deja Vu – Lessons from States, Questions for Policymakers
/in Policy Minnesota, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Prescription Drug Pricing, State Insurance Marketplaces /by Anita CardwellCongress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]
State Checklist: Medicaid-Related Provisions Impacted by an ACA Repeal
/in Policy Charts CHIP, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Managed Care, State Insurance Marketplaces /by NASHP StaffThis worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other […]
Federal and State Collaboration to Improve Health Through Housing
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP WritersState and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. The cross-sector nature of efforts to provide health care, housing, and housing-related services to vulnerable populations can make it difficult for health and housing policymakers to align and coordinate their work. With support from The […]
An Overview of ACA Provisions and Their Repeal Implications for States
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Population Health, State Insurance Marketplaces /by NASHP StaffMuch has been written about the impact of ACA repeal on consumers and health insurance markets. With this chart NASHP provides an overview of ACA provisions and snapshot of the implications to states if the ACA is repealed. States are the primary regulator of insurance and as such had laws in place prior to the enactment of […]
Sharing Accountability: State and Local Collaborations to Address the Behavioral Health Needs of Justice-Involved Individuals
/in Policy Annual Conference, Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP StaffIndividuals involved in the criminal justice system often have complex health needs—rates of mental illness, substance abuse, and other health conditions are as much as seven times higher for justice-involved individuals than the general population.[1] Behavioral health issues in particular are prevalent among the justice-involved population. Estimates are that approximately 56 percent of individuals in […]
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