Medicaid Expansion
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The ACA at 10: What We’ve Learned from the States and How the 2020 Elections Could Shape the Future
/in Policy Blogs, Featured News Home Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffHow the President’s Proposed FFY 2021 Budget Would Impact Critical State Health Programs
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, HIV/AIDS, Housing and Health, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health /by NASHP StaffThe President’s budget request for federal fiscal year (FFY) 2021 proposes a 10 percent reduction in the Department of Health and Human Services’ (HHS) budget. A signature piece of the budget features the President’s Health Reform Vision, which includes $844 billion in cuts over 10 years to implement the Administration’s efforts to provide “better care […]
Governors Tackle Health Care Costs, Coverage, and Quality in their State of the State Addresses
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Expansion, Population Health, Prescription Drug Pricing, Safety Net Providers and Rural Health, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellIn their 2020 state of the state speeches, governors identified new health policy initiatives on a wide range of issues. As of mid-February, 42 governors had delivered speeches or outlined key budget priorities, and all addressed health issues – most commonly strategies to tackle health care costs and behavioral health issues. Below are highlights of the key health themes […]
How Governors Addressed Health Care in their 2020 State of the State Addresses
/in Policy Charts Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Work Requirements /by Sarah Lanford and Anita CardwellOverview of the Centers for Medicare & Medicaid Services’ New Medicaid Block Grant Guidance
/in Medicaid Managed Care Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Program Design, Work Requirements /by Anita CardwellIntroduction by Trish Riley, NASHP Executive Director For decades, the proposal to convert the Medicaid program from an open-ended entitlement to capped funding as a “block grant” has been a fiercely argued policy, legal and ideological debate. Opponents contend that capped financing violates the foundation of Medicaid as an entitlement and would severely impair states’ abilities to address […]
What States Did in 2019 to Address Health Coverage and Costs
/in Policy Blogs, Featured News Home Administrative Actions, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Newly-Enacted Laws, Prescription Drug Pricing, State Insurance Marketplaces, Work Requirements /by Sarah LanfordGeorgia Proposes New Changes to its Individual Market and Medicaid Program in Two Federal Waivers
/in Policy Georgia Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces, Work Requirements /by Anita CardwellThis spring, Georgia passed the Patients First Act authorizing the state to seek federal approval for a Section 1115 waiver to implement an alternative Medicaid expansion model and an Affordable Care Act (ACA) Section 1332 waiver to pursue a range of options affecting individual market coverage. Last week, the state released draft versions of both […]
Recent State Action on Medicaid Expansion, Work Requirements, and Block Grants
/in Policy Georgia, Idaho, Kentucky, Missouri, Montana, Nebraska, New Hampshire, New Mexico, North Carolina, South Dakota, Utah, Virginia Blogs, Featured News Home Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, Work Requirements /by Anita CardwellThis year, many states have continued to pursue federal approval for a range of proposals affecting Medicaid coverage, such as seeking modifications to the Affordable Care Act’s (ACA) Medicaid expansion or adding Medicaid work requirements. Currently, nine states have implemented expansion through Section 1115 waivers to impose conditions such as monthly premiums, lock-out provisions for […]
Q&A: How Maryland Uses Multiple Policy Levers to Improve Health Coverage, Affordability, and Access
/in Policy Maryland Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartMaryland has a long history of enacting statewide health reforms and 2019 was no exception with the passage of several significant reforms, including the Maryland Easy Enrollment Health Insurance Program (MEEHP), which passed with bipartisan support and was signed by Gov. Larry Hogan in June. Maryland is also implementing a new value-based plan design for health insurance marketplace plans and […]
Multiple Factors Appear to Be Contributing to Children’s Rising Uninsured Rates
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Work Requirements /by Maureen Hensley-QuinnUS Census Bureau data released this past week revealed 8.5 percent (27.5 million people) did not have health coverage at any point during 2018 – an increase from 7.9 percent (25.6 million people) in 2017. The latest census data also affirmed fears raised after reports of declining child enrollment in Medicaid and the Children’s Health […]

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