Essential Health Benefits
FEATURED ARTICLE
Engaging Self-Insured Employers in Multi-Payer Reform: Lessons from Arkansas and Walmart
/in Policy Arkansas Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs /by Ledia TaborSelf-insured employer participation in multi-payer payment reform is critical for providers to receive consistent messages across payers—an important step toward fostering widespread improvement. A recent study echoes the experience of many state-led multi-payer initiatives experiencing difficulty in engaging self-insured employers. This study looked at reforms in four states: Arkansas, Oregon, Minnesota, Vermont. Only two, Arkansas […]
Webinar: Standardized Benefit Plans: A Tool for Consumers?
/in Policy Webinars Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffWashington State: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Washington Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes State Legislation Prior to passage of the ACA, processes to enroll justice-involved individuals with severe mental illnesses in Medicaid had been in place in Washington due to a directive based on state legislation. In subsequent years the state also enrolled Medicaid-eligible incarcerated individuals if they were admitted for inpatient health care […]
Ohio: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Ohio Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes Memorandums of Understanding (MOUs) between state agencies The Ohio Department of Rehabilitation and Correction (ODRC) and the Ohio Department of Medicaid (ODM) have a MOU to facilitate the enrollment of justice-involved individuals via phone. The MOU describes how ODM telephone hotline representatives are provided with access to ODRC’s system which tracks […]
New Mexico: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy New Mexico Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes Policy Changes During the state’s 2015 legislative session SB 42 was introduced, which includes language indicating that incarceration is not a basis for denying or terminating an individual’s eligibility for Medicaid. The bill also permits individuals to apply for Medicaid while incarcerated and directs correctional facilities to inform the state Human […]
Colorado: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Colorado Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes State Legislation In 2008, the Colorado state legislature passed and the governor signed SB08-006, which allows for the suspension of Medicaid benefits upon incarceration (see Title 25.5-4-205.5). Specifically, if an individual enrolled in Medicaid becomes incarcerated, the state law allows for an individual’s Medicaid enrollment to be However, based on conversations […]
Dental Benefits and Health Insurance Marketplaces: An Update on Policy Considerations
/in Policy Reports Child Oral Health, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, Oral Health, State Insurance Marketplaces /by NASHP and Najeia MentionThe Affordable Care Act (ACA) includes pediatric dental services as one of ten Essential Health Benefits that health plans in the small group and individual markets must cover. Adult dental services are not required, but are being offered by marketplace plans as well. However, the way that the ACA structures dental coverage has created a […]
Toolkit: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Toolkits Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by Anita Cardwell, Chiara Corso and Sarabeth ZemelUnder the Affordable Care Act (ACA), many individuals involved in the criminal justice system are now eligible for Medicaid, including many young, low-income males who did not previously qualify.
The Healthier Washington Initiative Promotes Accountable Communities of Health Statewide
/in Policy Washington Blogs Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by Taylor KniffinAt a recent NASHP preconference, Improving Health, Lowering Costs: Translating Population Health into Effective State Policy, we heard from Washington State about the innovative work currently underway as part of its Healthier Washington initiative. This panel featured MaryAnne Lindeblad from the Washington Health Care Authority (HCA) and two local perspectives: Patty Hayes, Director of Public […]
Happy Anniversary Medicaid – Remarks from Trish Riley
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care /by Lesa Rair and Lesa RairLast month, as part of an Academy Health Annual Research Meeting panel on the 50th anniversary of Medicaid, NASHP Executive Director Trish Riley gave remarks on the history of the program, as well as addressed where it is heading and the long-term relationship between Medicaid and the states. Read the entire speech here.
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 Address Social Determinants of Oral Health in Managed Care Contracts
/in Medicaid Managed Care Maps Child Oral Health, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic Disease Prevention and Management, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Social Determinants of Health, Special Populations and Services /by NASHP Staff