Health IT/Data
FEATURED ARTICLE
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 WritersNEXT STEPS FOR APCDs: US Department of Labor (DOL) Rulemaking
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs /by NASHP StaffComments submitted to the DOL The Gobeille v. Liberty Mutual Insurance Co. decision dealt a blow to state APCDs by denying state all payer claims databases (APCD) the ability to require data submission from self-funded group health plans. Nationally about 63 percent of all workers with employer-based health insurance are in self-funded plans and that […]
Data for Change: How States Have Used APCDs to Drive Innovation
/in Policy Maryland, New Hampshire Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Tamara KramerState-run all-payer claims databases (APCDs) are a critical public resource and serve a unique function in the current era of health care reform. APCDs, which are operating in 18 states, provide fair and equal access to independently validated data that can both support evidence-based policymaking as well as help patients navigate the health care system. […]
Webinar: Advancing Health through Accountable Communities: A Conversation with States
/in Policy Webinars Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement, Value-Based Purchasing /by NASHP StaffUpdate: Sixth Circuit Declines to Expand ERISA; State Assessments on Self-Funded Insurers Upheld
/in Policy Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement /by Tamara KramerIn a recent blog, NASHP highlighted a 6th Circuit case that had the potential to jeopardize the future of state assessments on self-funded plans (Self-Insurance Institute of America Inc. v. Snyder et al.). In March, the Supreme Court instructed the 6th Circuit to take a second look at a recent decision where the lower court […]
Gobeille v. Liberty Mutual Update: Developments We are Watching
/in Policy Florida, Michigan Blogs Essential Health Benefits, Health Coverage and Access, Health IT/Data, Medicaid Expansion, State Insurance Marketplaces /by Tamara KramerEarlier this year, the U.S. Supreme Court’s decision in Gobeille v. Liberty Mutual dealt a blow to the 18 existing state-run all-payer claims databases (APCDs) by holding that ERISA prevents states from compelling self-funded insurers to report to their data systems. In response to the Court’s decision, a number of state APCDs and/or payers have […]
Overview of State Programs that Utilize an Assessment of Self-Funded ERISA Plans and/or Third Party Administrators
/in Policy Charts Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHP StaffAs described in a recent NASHP blog, the Supreme Court’s decision in Gobeille v Liberty Mutual, which denied the state’s ability to mandate claims submission from self-funded ERISA health plans, may have started us down a slippery slope. In light of this new approach to what state requirements are preempted by ERISA, the Supreme Court asked […]
Are States Losing Key Tools for Health Reform?
/in Policy Michigan, Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by Lesa RairEngaged in multi-payer payment reforms? Seeking information about the cost of care? About the rate of opioid prescribing? Assessing carriers to generate needed revenue to support state activities like vaccines for children? You might soon hit a federal stoplight. The Supreme Court’s recent decision in Gobeille v Liberty Mutual, which denied the state’s ability to […]
Building a More Efficient Marketplace: Lessons from DC Health Link’s Experience with Open Source Code
/in Policy Reports Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, Health System Costs, State Insurance Marketplaces /by NASHP WritersEvery open enrollment affords the health insurance marketplaces new opportunities to introduce innovative ways to improve their systems while lowering costs. For the 2015-16 open enrollment season, DC Health Link, Washington DC’s health insurance marketplace, levied such an opportunity by transferring their marketplace onto a new open source code solution. Agile, efficient, and cost effective, […]
Understanding Medicaid Claims and Encounter Data and their Use in Payment Reform
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHP WritersStates across the country are fully engaged in delivery system and payment reform efforts to improve care and lower costs in their Medicaid programs. Data is a critical component of these efforts. This NASHP brief provides an introduction to two types of Medicaid utilization data—fee-for-service claims data and managed care encounter data—and, based on examples […]
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. 
Medicaid Agencies Cultivate Partnerships and Deploy Data to Bolster COVID-19 Vaccination Efforts
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health IT/Data, Medicaid Managed Care, Population Health, Program Design, Quality and Measurement, Social Determinants of Health, Special Populations and Services, Vaccines /by Christina CousartCOVID-19 vaccine distribution has accelerated across states as the Biden Administration updates its vaccine goal to 200 million doses by April 23, 2021 and many states are opening eligibility to all adults by early April. The National Academy for State Health Policy (NASHP) recently spoke with several state Medicaid officials to learn more about how […]