Health IT/Data
FEATURED ARTICLE
All Eyes on Michigan: Will Assessments on All Health Plans Survive
/in Policy Michigan Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by Lesa Rair and Tamara KramerOn Monday, the United States Supreme Court sent back a Michigan case for a new finding that could forbid state assessments on self funded plans. The Supreme Court told the Sixth Circuit to reconsider its ruling that a Michigan health insurance tax was not preempted by the Employee Retirement Income Security Act (ERISA) in light of the Supreme Court’s decision […]
Gobeille v. Liberty Mutual: Decision
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by NASHP WritersIn a 6-2 decision released today, the U.S. Supreme Court has dealt a blow to state all- payer claims databases. By upholding a lower court’s decision, the Court ruled that states may no longer require self funded plans to submit claims data – that action is preempted by ERISA. In its decision in Gobeille v. Liberty […]
State Health Policy Grant Program Briefs Released
/in Policy Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs /by NASHP StaffSix briefs developed through the State Health Policy Grant Program, a partnership with the Health Care Cost Institute (HCCI) and NASHP; to evaluate and report on state health policy initiatives were released February 25, 2016. The grant program was funded by a $1.5 million grant from the Laura and John Arnold Foundation. The six policy […]
Gobeille v. Liberty Mutual: Everything You Need to Know
/in Policy Vermont Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs /by NASHP StaffIn a 6-2 decision in Gobeille v. Liberty Mutual released on March 1, the U.S. Supreme Court has dealt a blow to state all- payer claims databases. By upholding a lower court’s decision, the Court ruled that states may no longer require self funded plans to submit claims data – that action is preempted by ERISA. […]
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 […]
Vermont Takes Next Step in Global Budgeting: Releases All-Payer Model
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHP StaffWe recently published a brief on efforts underway in Maryland, Massachusetts, and Vermont to develop and implement global budgeting. Last week, Vermont took the next step, releasing an overview of its proposal to the Centers for Medicare & Medicaid Services (CMS) for an all-payer model. Vermont’s approach distinguishes itself by setting spending targets for almost […]
Addressing and Reducing Health Care Costs in States: Global Budgeting Initiatives in Maryland, Massachusetts, and Vermont
/in Policy Maryland, Massachusetts, Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by Lesa Rair and Sarabeth ZemelIn the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their Medicaid programs to cover low-income populations. More than 16 million people are newly insured under the law. In addition to expanding health coverage, […]
NASHP’s 2015 Health Policy Year in Review
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by Lesa RairNASHP has long been a key health policy go-to for states, and 2015 was no different. It’s hard to believe it’s only been a year since I rejoined the organization. We began 2015 hearing from governors across the country calling for progress in reducing health care cost growth, discussing state based exchanges, improving behavioral health […]
Health Care Cost Institute Emerging Uses of Claims Data
/in Policy Webinars 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 NASHPWhat’s at Stake for States? The Lines are Drawn in Gobeille v. Liberty Mutual
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Quality and Measurement, Value-Based Purchasing /by Lesa RairOn December 2nd, the US Supreme Court will take up Gobeille v. Liberty Mutual, a case which could limit states’ ability to collect essential data to advance payment reforms, address cost and quality and assure consumers have information and access to care. At issue is whether or not a state can compel a self-insured employer to […]
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 […]