Essential Health Benefits
FEATURED ARTICLE
Proposed Rules Give States Flexibility to Change Essential Health Benefits, and More
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Quality and Measurement, State Insurance Marketplaces, Value-Based Purchasing /by Christina CousartThe US Department of Health and Human Services (HHS) recently released proposed changes in its annual the rule that governs standards for issuers and the health insurance marketplaces. The annual notice is one of the most significant tools the Administration wields in shaping the health insurance markets and this proposed notice carries significant implications for […]
Community Health Worker Resources for States
/in Policy Minnesota, New York, Utah Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Long-Term Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Tina KartikaAs states transform their health systems, many are turning to community health workers (CHWs) to improve health outcomes and access to care, address social determinants of health, and help control costs of care. While state definitions vary, CHWs are typically frontline workers who are trusted members of and/or have a unique and intimate understanding of […]
BCRA and the Byrd Rule
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersThe Better Care Reconciliation Act (BCRA) is being considered under a special legislative process known as budget reconciliation, which limits debate and allows a bill to pass with a simple majority. Reconciliation rules include the Byrd Rule requiring that bills passed through this process only include changes that directly affect the federal budget. On July […]
What the House and Senate Health Care Bills Mean for States
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffJuly 25, 2017 House and Senate Bills, ACA Comparison Chart (Updated) Blog: BCRA and the Byrd Rule Today, the Senate is expected to vote on a motion to bring a health care bill to the floor for debate. While it is yet uncertain which bill will be brought forward (the American Health Care Act, the […]
Comparison of Estimated Annual Consumer Premiums: In Single County in a State
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersComparison of Estimated Annual Consumer Premiums: Low and High Cost County
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffHighlighting State Medicaid Performance Measures, Improvement Projects, & Incentives To Promote Improvement in Women’s Health Services and Perinatal Outcomes
/in Policy Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement /by Anisha Agrawal and Derica SmithPoor birth outcomes, such as pre-term birth, carry substantial human and financial costs and are generally influenced by women’s health and socioeconomic factors such as race, ethnicity, income, health care access, and education. According to the Institute of Medicine, the cost associated with pre-term birth in the U.S. is $26.2 billion each year, with Medicaid […]
State Medicaid Quality Measurement Activities for Women’s Health
/in Policy CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement /by Anisha Agrawal*Maps and Chart updated as of November 3, 2017* State Medicaid agencies provide a variety of health services to women that promote overall health and well-being and support improved birth outcomes, such as reduction in infant mortality rates. States have the option of implementing performance measurement, incentives or improvement projects, including as part of broad […]
Three Ways the Proposed White House Budget Could Affect Public Health in States
/in Policy Blogs Chronic Disease Prevention and Management, Essential Health Benefits, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Expansion, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP WritersBudgets are important windows into the priorities of an administration. While the White House budget for FY 2018 proposes some targeted infrastructure investments,[i] it also proposes to reduce funding for public health infrastructure and services. The budget proposed by the White House is expected to change in Congress; however, it is important for states to […]
How might premium costs differ within states under the ACA and AHCA ?
/in Policy Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffAccounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting 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. 
























































































































































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