Essential Health Benefits
FEATURED ARTICLE
NASHP Leaders’ Summit: Views on the Current Congressional Debate
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffIn signaling that it will craft its own health reform proposal, the U.S. Senate opens the door for new approaches to address cost, coverage, and access. In tandem, state officials are assessing the impact of potential changes and weighing their options. The National Academy for State Health Policy (NASHP) recently “took the pulse” of state […]
Braiding Funds to House Complex Medicaid Beneficiaries: Key Policy Lessons from Louisiana
/in Policy Louisiana Reports Blending and Braiding Funding, 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 Tina KartikaState health policymakers know that improving health and controlling costs sometimes requires investment outside the bounds of medical care. With support from the Robert Wood Johnson Foundation, this brief explores Louisiana’s permanent supportive housing program. The program, administered jointly by the state’s Medicaid agency and housing authority, is a cross-agency partnership that braids funding to […]
How Massachusetts SHOP-ed for a New Small Group Marketplace
/in Policy District Of Columbia, Massachusetts Blogs Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersEarlier this spring, the Massachusetts Health Connector (Health Connector), the health insurance exchange of the commonwealth, announced that it would be joining Washington, D.C.’s, exchange, DC Health Link, in a first-of-its-kind collaboration to develop a joint platform for their small business exchanges. This partnership is an exciting example of the collaborative possibilities for states. By […]
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 […]
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 […]
Majority of States Planning on Federal Funding for CHIP to Continue According to New Nationwide Survey of CHIP Directors
/in Policy Blogs CHIP, CHIP, Essential Health Benefits, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP StaffThe National Academy for State Health Policy (NASHP) today released the findings of a nationwide survey of CHIP Directors that shows a majority of states are planning upcoming budgets on the assumption federal funding for the Children’s Health Insurance Program (CHIP) will continue. Only five states have begun the initial efforts of contingency plans should funding not […]
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 […]
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 […]
New Report Shows Increase in ED Utilizations for Behavioral Health – What States Can Do
/in Policy Delaware, Oregon, Washington 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, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health /by Jenna BluesteinThe Agency for HealthCare Research and Quality (AHRQ) released an eye-opening study this past week, indicating that utilization of emergency department (ED) services due to behavioral health conditions increased sharply from 2006 to 2013. The brief “Trends in Emergency Department Visits Involving Mental and Substance Use Disorders,” highlights a 52 percent increase in ED utilization […]

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