Medicaid Expansion
FEATURED ARTICLE
Three Ways the Proposed White House Budget Could Affect Public Health in States
/in Policy Blogs Chronic Disease Prevention and Management, Essential Health Benefits, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Expansion, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP WritersBudgets are important windows into the priorities of an administration. While the White House budget for FY 2018 proposes some targeted infrastructure investments,[i] it also proposes to reduce funding for public health infrastructure and services. The budget proposed by the White House is expected to change in Congress; however, it is important for states to […]
State-Specific Medicaid Program Changes
/in Policy Arizona, Arkansas, Indiana, Kentucky, Maine, Massachusetts, Wisconsin Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Anita CardwellThe following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]
Estimated AHCA and ACA Premiums and Tax Credits by State, Income, Age, and Select Counties
/in Policy Charts Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffThese sheets supplement NASHP’s brief, Health Care is Local: Impact of Income and Geography on Premiums and Premium Support. Using data and modeling from the Kaiser Family Foundation, we present estimated premiums and tax credits under current law created by the Affordable Care Act (ACA) and under the American Health Care Act (AHCA), as passed by […]
Health Care is Local: Impact of Income and Geography on Premiums and Premium Support
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP WritersThe American Health Care Act (AHCA) proposes a significant change in how and to whom premium tax credits are dispersed, proposing a flat rate adjusted only by age. The Affordable Care Act (ACA) bases its premium tax credit calculation on three factors: age, income and local cost of insurance premiums. While there has been extensive […]
NASHP Leaders’ Summit: Views on the Current Congressional Debate
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffIn signaling that it will craft its own health reform proposal, the U.S. Senate opens the door for new approaches to address cost, coverage, and access. In tandem, state officials are assessing the impact of potential changes and weighing their options. The National Academy for State Health Policy (NASHP) recently “took the pulse” of state […]
Braiding Funds to House Complex Medicaid Beneficiaries: Key Policy Lessons from Louisiana
/in Policy Louisiana Reports Blending and Braiding Funding, Chronic Disease Prevention and Management, Essential Health Benefits, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Expansion, Population Health, Social Determinants of Health, State Insurance Marketplaces /by Tina KartikaState health policymakers know that improving health and controlling costs sometimes requires investment outside the bounds of medical care. With support from the Robert Wood Johnson Foundation, this brief explores Louisiana’s permanent supportive housing program. The program, administered jointly by the state’s Medicaid agency and housing authority, is a cross-agency partnership that braids funding to […]
Focus on AHCA Amendments Misses Underlying Legislation
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairA statement from NASHP Executive Director Trish Riley “Focusing on the amendments to the AHCA diverts attention from the underlying legislation. Included there are significant cuts to coverage programs. Flexibility is not a synonym for savings. While state flexibility and the added funding for risk mitigation could create more efficiency and stimulate innovation, by itself […]
State Strategies for Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Expansion, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Hannah DorrSubstance use disorder affects an estimated 20.8 million people in the United States,[i] however, national survey data show that fewer than 10 percent of individuals with an alcohol use disorder and 20 percent of individuals with an opioid use disorder receive treatment for the condition.[ii],[iii] Individuals battling substance use disorder may not perceive a need […]
Sharing Accountability: State and Local Collaborations to Address the Behavioral Health Needs of Justice-Involved Individuals
/in Policy Annual Conference, Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP StaffIndividuals involved in the criminal justice system often have complex health needs—rates of mental illness, substance abuse, and other health conditions are as much as seven times higher for justice-involved individuals than the general population.[1] Behavioral health issues in particular are prevalent among the justice-involved population. Estimates are that approximately 56 percent of individuals in […]
Implementing the Medicaid Managed Care Rule: A View from One State
/in Policy Virginia Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP WritersBy: Guest Blogger, Cheryl Roberts, Deputy Director of the Virginia Department of Medical Assistance Services and NASHP Academy Member During the 2016 NASHP Annual State Health Policy Conference, I gave my thoughts on 15 things that made me say, “Hmm” about the CMS Managed Care Regulations, aka The Mega Regs. I could note 40 but […]
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