Medicaid Expansion
FEATURED ARTICLE
Happy Anniversary Medicaid – Remarks from Trish Riley
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care /by Lesa Rair and Lesa RairLast month, as part of an Academy Health Annual Research Meeting panel on the 50th anniversary of Medicaid, NASHP Executive Director Trish Riley gave remarks on the history of the program, as well as addressed where it is heading and the long-term relationship between Medicaid and the states. Read the entire speech here.
State Enrollment Experience: Implementing Health Coverage Eligibility and Enrollment Systems Under the ACA
/in Policy Reports Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP, Alice Weiss and Kaitlin SheedyThe Patient Protection and Affordable Care Act (ACA) included new eligibility and enrollment requirements, which have presented states with significant implementation opportunities and challenges. Although states had choices about whether to host a health insurance exchange or expand Medicaid, the ACA required all states to make major changes to Medicaid eligibility policy, including adding mandatory […]
What Governors Are Saying About King v. Burwell
/in Policy Blogs, Charts Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHPLast week’s ruling in King v. Burwell affirmed the provision of tax-subsidies through the federally-facilitated marketplace (FFM), a decision which may have affected over 6.4 million Americans currently receiving subsidies in the 34 states that have opted for the FFM model. The ruling has asserted the place of the Affordable Care Act (ACA), with state […]
New Mexico’s State-Based Marketplace: An Emerging Model
/in Policy New Mexico Reports Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP and Tess ShirasThe Supreme Court’s ruling in King v. Burwell could have a significant impact on states. If the Supreme Court finds for the petitioners in King v. Burwell, states with Federally-Facilitated Marketplaces (FFMs), and possibly State Partnership Marketplaces (SPMs), may have to adopt a new model that qualifies as a State-Based Marketplace (SBM) to maintain access to the […]
Children’s Coverage Beyond CHIP: Policy Considerations for States
/in Policy Florida, Kentucky, West Virginia Webinars CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces /by NASHPAlthough federal funding for the Children’s Health Insurance Program (CHIP) was recently extended through FFY2017, it is unclear if CHIP will continue beyond that date. As a result, children may need to transition to other sources of coverage in the future.
State Experiences Designing and Implementing Medicaid Delivery System Reform Incentive Payment (DSRIP) Pools
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, State Insurance Marketplaces /by Neva KayeSeveral states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]
Opportunities for Enrolling Justice-Involved Individuals in Medicaid
/in Policy Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Safety Net Providers and Rural Health /by Anita CardwellHealth insurance options now available through the Affordable Care Act (ACA) offer new opportunities to enroll individuals involved in the criminal justice system into coverage. In states that have expanded Medicaid, many newly eligible will be young, low-income males, some with involvement with the criminal justice system. Justice-involved individuals especially could benefit from coverage as […]
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