Health Coverage and Access
FEATURED ARTICLE
State Approaches to Family Caregiver Education, Training and Counseling in Medicaid Home- and Community-Based Services
/in The RAISE Act Family Caregiver Resource and Dissemination Center Charts, Featured News Home, Maps Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Palliative Care, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Salom TeshaleState Employee Health Plans Confront COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home Consumer Affordability, COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, State Employee Health Plans /by Marilyn Bartlett and Maureen Hensley-QuinnState employee health plans (SEHPs), which provide health coverage for millions of public employees, their dependents, and some retirees, are making rapid changes to address the COVID-19 pandemic. This retooling of insurance plans must meet emerging federal requirements and ensure that coverage meets enrollees’ needs while managing costs and anticipating budget constraints. During a recent […]
States’ Recent 1115 Waiver Applications Include Provisions to Support Children during the Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Workforce Capacity /by Kate HonsbergerMore than a dozen states have recently submitted 1115 waiver applications that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic. If approved, these 1115 waivers would be retroactively to March 1, 2020, and expire “no later than 60 days after the end of the public health […]
States Launch Rapid Response Teams to Curb COVID-19 Outbreaks in Nursing Homes
/in COVID-19 State Action Center Maryland, Massachusetts Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Housing and Health, Long-Term Care, Population Health, Workforce Capacity /by Chris KukkaIn several states, nursing home staff and residents make up nearly half of residents who have died from COVID-19, including 55 percent of deaths caused by the coronavirus in Massachusetts. While hospitals’ personal protective equipment (PPE) shortages have been highlighted, less attention has been paid to the critical need for PPE and infection control expertise […]
States Implement Strategies to Safeguard Pregnant Women during the COVID-19 Pandemic
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Coverage and Access, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Workforce Capacity /by Taylor PlattAcross the nation, states are taking steps during the COVID-19 pandemic to protect pregnant women and their infants during delivery. States, whose Medicaid programs cover nearly half of all births in the United States, recognize the importance of ensuring all pregnant women have safe and healthy deliveries. The Centers for Disease Control and Prevention (CDC) […]
CARES Act Funds Help Consumers, but Create Health Coverage Eligibility Challenges for States
/in COVID-19 State Action Center Blogs, Featured News Home CHIP, COVID-19, Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Anita Cardwell and Christina CousartThe Coronavirus Aid, Relief, and Economic Security Act (CARES Act) includes a Pandemic Unemployment Compensation benefit of $600 a week, which supplements traditional unemployment insurance (UI) benefits and provides an important source of additional financial support for individuals who qualify for these payments. However, as highlighted in NASHP’s April 6, 2020 blog, Federal Guidance Needed to […]
States Race to Secure Home- and Community-Based Services during COVID-19
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, COVID-19, Health Coverage and Access, Long-Term Care, Population Health, Social Determinants of Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Wendy Fox-Grage, Salom Teshale and Paige SpradlinUpdated May 7, 2020 In the past two months, 35 states* have rapidly amended their Medicaid home- and community-based services for older adults and their family caregivers to ensure access to long-term services and supports during the COVID-19 crisis. Under new federal rules, the states applied for Medicaid 1915(c) Appendix K waivers to make temporary or […]
New State Insurance Requirements in Response to COVID-19
/in COVID-19 State Action Center Blogs, Charts, Featured News Home COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, State Insurance Marketplaces /by Christina CousartCOVID-19 has upended health care systems and states are revising health insurance rules to make sure consumers can maintain their health insurance coverage and access needed health care services during the pandemic. The chart below details recent state actions that: Limit consumer out-of-pocket costs for testing, treatment and out-of-network care; Facilitate access to and delivery […]
Toolkit: Upstream Health Priorities for Governors
/in Policy Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Palliative Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP WritersGovernors can control costs, advance their priorities, and enhance lives by improving the social and economic conditions that make up 80 percent of the factors affecting their residents’ health. Governors are uniquely positioned to maximize state resources to address the conditions affecting health by leading cross-agency and public-private collaborations, leveraging siloed state resources, and advancing evidence-based health policy approaches.
Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
/in Policy Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Health Equity, Health IT/Data, HIV/AIDS, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Safety Net Providers and Rural Health /by Eliza Mette, Jodi Manz and Kristina LongIn response to an increase in HIV and hepatitis C virus (HCV) infections in individuals with substance use disorders (SUD), including opioid use disorders (OUD), state policymakers are employing multifaceted strategies to address this syndemic, collaborating with public and private partners to prevent the spread of infectious disease and provide access to evidence-based treatment. This report […]

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. 
























































































































































Rhode Island Looks to Auto-Enrollment to Ease Transitions from Medicaid to Marketplace
/in Health Coverage and Access, Policy Rhode Island Blogs, Featured News Home State Insurance Marketplaces /by Gia Gould and Maureen Hensley-Quinn