Medicaid Expansion
FEATURED ARTICLE
Access for the Uninsured: Lessons from 25 Years of State Initiatives (The Flood Tide Forum, Rereleased from January 2000)
/in Policy Reports Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairIn light of the current and anticipated debates surrounding health policy and access NASHP is rereleasing this report originally published in January 2000. See Trish Riley’s Latest Blog Read the Full Publication.
State Leaders Convened for National Issues Teleconference
/in Policy Blogs CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Value-Based Purchasing /by Lesa RairFollowing on the heels of our Leader’s Summit, held in October, last night NASHP convened our Academy members in a national issues forum teleconference to update each other and discuss emerging concerns and opportunities. From that discussion, several themes emerged: The uncertainty of policy direction confounds states and markets and leads to instability As policy […]
NASHP Leaders’ Summit: State Health Policy and the Next Administration
/in Policy Reports CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, State Insurance Marketplaces /by NASHP StaffRead the full brief here. Summary As President Trump and the new Congress take office in 2017, fundamental changes to alter the health care system will be debated. States have been actively engaged in health reform, embracing changes to insurance markets, new investments and innovation in delivery system and payment reform, as well as public […]
Federal and State Collaboration for Medicare-Medicaid Alignment
/in Policy California, Colorado, Illinois, Maryland, Massachusetts, Michigan, New York, Ohio, Rhode Island, South Carolina, Texas, Virginia, Washington Reports Care Coordination, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement, State Insurance Marketplaces /by Jenn JensonNASHP recently brought together a group of state and federal policy leaders to discuss the Medicare-Medicaid Financial Alignment Initiative, D-SNP health plans, and other programs and resources aimed at aligning health care payment and delivery to improve care for dual eligibles. See a report from the meeting and sign up for a webinar on state […]
Incentivizing Healthy Behaviors and Personal Responsibility
/in Policy Connecticut, Idaho, Indiana Annual Conference, Blogs Accountable Health, Behavioral/Mental Health and SUD, 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 System Costs, Medicaid Expansion, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, State Insurance Marketplaces /by Lesa RairTo help better prevent and control costly conditions such as chronic diseases, and to break the cycle of poor health, states are experimenting with mechanisms to incentivize healthy behaviors and personal responsibility for wellness. This past October, as part of the 29th Annual State Health Policy Conference in Pittsburgh, PA, leaders from Connecticut, Idaho, and […]
What a Difference a Day Makes…
/in Policy Blogs CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP WritersTomorrow it will all be over, this long, costly, bitter, and divisive election will be behind us and we will know who America has chosen as our President, who has been elected to Congress, and a host of other important electoral outcomes. While this election has too often highlighted the differences within our country, a […]
States with Medicaid Incentives for the Prevention of Chronic Diseases Model
/in Policy Maps Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, State Insurance Marketplaces /by NASHP StaffSection 4108 of the ACA mandated the creation of the Medicaid Incentives for Prevention of Chronic Diseases (MIPCD) program for states to develop evidence-based prevention programs that provide incentives to Medicaid beneficiaries to participate in and complete. In 2011, 10 states were awarded grants to implement chronic disease prevention approaches for their Medicaid enrollees to […]
How Health System Transformation Efforts are Improving Access to Care for Children and Youth
/in Policy Massachusetts, New York, Ohio Blogs Care Coordination, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Value-Based Purchasing /by NASHP WritersStates are rapidly undertaking major reforms within their health care delivery systems. Though not often specifically targeting children and youth, these reforms offer opportunities to positively impact how this population accesses care. In a recent NASHP webinar several states described how their health system transformation efforts are doing so. Massachusetts State Innovation Model Grant: Massachusetts […]
Health Coverage Options for Pregnant Women
/in Policy CHIP, CHIP, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Healthy Child Development, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by Alexandra KingAs a result of the Affordable Care Act (ACA) and the creation of health insurance exchanges, there are more coverage options for pregnant women in all states. In addition to insurance through exchanges, all states offer Medicaid coverage for pregnant women and a number of states also offer them coverage through their CHIP programs. Although […]
Chronic Pain Management Therapies in Medicaid: Policy Considerations for Non-Pharmacological Alternatives to Opioids
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by Hannah Dorr and Charles TownleyAlthough most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]
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. 
Eligibility Levels for Pregnancy-Related Coverage in Medicaid and CHIP
/in Policy Featured News Home, Maps CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by Anita CardwellEligibility Levels for Pregnancy-Related Coverage in Medicaid and CHIP