Medicaid Expansion
FEATURED ARTICLE
State Strategies to Incorporate Oral Health into Medicaid Payment and Delivery Models for People with Chronic Medical Conditions
/in Policy Alabama, Missouri, Ohio, Rhode Island, South Dakota, Washington Reports Child Oral Health, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Oral Health /by Amy Clary, Carrie Hanlon and Najeia MentionState health policymakers know oral health is an essential component of overall health and well-being, but state Medicaid programs face increasing costs and growing demands. Many of their enrollees struggle with high-cost, chronic conditions — often linked to oral health issues. To explore possible approaches to improve oral health care, NASHP interviewed key Medicaid officials […]
Three-Part Series: Improving Care for People Living with HIV: Opportunities for State Medicaid-Ryan White HIV/AIDS Program Collaboration
/in Policy Illinois, Louisiana, New Jersey, New York, Rhode Island, Wisconsin Reports Administrative Actions, 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, HIV/AIDS, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Prescription Drug Pricing, Quality and Measurement, State Rx Legislative Action /by Lyndsay SanbornStates play critical roles in ensuring that people living with HIV (PLWH) have access to quality care through their Medicaid and Ryan White HIV/AIDS programs. PLWH can be among the most medically complex individuals covered by state health programs, and their care can cost five-times more than the average Medicaid beneficiary. Given limited resources, state […]
Federal Suspension of Risk Adjustment Payments Delivers Another Hit to State Exchanges
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffThe latest challenge to the Affordable Care Act (ACA) and the stability of states’ individual markets came on July 7, 2018, when the Centers for Medicare & Medicaid Services (CMS) announced it would stop issuing risk adjustment payments pending the outcome of a challenge to the ACA program in the US District Court in New […]
Voters in Several States Will Decide Whether to Expand Medicaid this Fall
/in Policy Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Chris KukkaVoters in several states will decide whether to expand Medicaid – or preserve their expanded coverage — when they go to the polls this November. Medicaid expansion will be on Utah’s ballot, and is expected to be presented to Idaho and Nebraska voters this fall if enough signatures are collected. Montana’s Medicaid expansion is scheduled […]
Learn the Latest about States’ Medicaid Work Requirement Proposals
/in Policy Blogs Health Coverage and Access, Medicaid Expansion, Work Requirements /by Anita CardwellMore than 30 states have proposed or are implementing work requirements, in some cases to enable Medicaid expansion. Read an update about state efforts and a recent federal court ruling on Kentucky’s waiver application. Since January, when the Centers for Medicare & Medicaid Services (CMS) announced it would allow states to require certain enrollees to […]
Washington’s Medicaid Chief Examines the Future of Medicaid and Health Reforms
/in Policy Washington Blogs Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Quality and Measurement, State Insurance Marketplaces, Value-Based Purchasing /by NASHP WritersMaryAnne Lindeblad oversees Washington State’s Apple Health (Medicaid) program, which serves more than 1.8 million residents. She also chairs the National Academy for State Health Policy’s executive committee and is a National Association of Medicaid Directors board member. Lindeblad took time recently to talk to NASHP about the future of Medicaid and health care reform. […]
The New Association Health Plan Rule: What Are the Issues and Options for States
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffLast week, the Department of Labor released its final rule regulating association health plans (AHPs). The rule is part of the Trump Administration’s multi-pronged strategy to revise regulations governing AHPs, short-term insurance, and health reimbursement arrangements (HRAs) to promote health care competition and choice. The rule is expected to reshape state insurance markets and […]
Health Services Initiative Gives States Unique Tools to Improve the Health of Low-Income Children
/in Policy Arkansas, Delaware Blogs Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Population Health, Social Determinants of Health /by Olivia BaconWith federal funding for the Children’s Health Insurance Program (CHIP) assured through 2027, states can consider using a portion of their CHIP dollars to improve the health of low-income children through innovative Health Services Initiative (HSI). HSIs provide states with a mechanism to use CHIP administrative dollars to fund a range of activities beyond just […]
An Early Look at Vermont’s Value-Based, Multi-Payer “Next Gen” Model, Designed to Lower Costs and Improve Population Health
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Quality and Measurement, State Insurance Marketplaces, Total Cost of Care Benchmark, Value-Based Purchasing /by NASHP WritersBy Robin Lunge, JD, MHCDS Robin Lunge is a member of Vermont’s Green Mountain Care Board, which regulates health insurance rates, hospital budgets, and accountable care organizations. In this brief, she explores how the state’s transformation from a fee-for-service payment system to a value-based, multi-payer model designed to curb health care spending and improve care […]
Ministry, Association, and Short-Term Health Plans: What’s a State to Do?
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffThe Trump Administration is expanding the availability of alternatives to Affordable Care Act-compliant health insurance. Rules to expand association health plans and short-term limited duration health plans are imminent. So what’s a state to do to prepare consumers and insurance markets for these alternative plans? The Administration asserts these alternatives will provide choice and lower-cost […]
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