Health Coverage and Access
FEATURED ARTICLE
States Increase Access to Oral Health Services and Support Overall Health
/in Policy Child Oral Health, Community Health Workers, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Oral Health, Population Health, Workforce Capacity /by NASHP StaffAcross the nation, states are developing innovative approaches to increase access to oral health services. These policies underscore the critical relationship between overall health and oral health. This blog and two new National Academy for State Health Policy fact sheets explore how several states, including Minnesota and Arizona, are expanding their oral health workforce to […]
States Increase Access to Oral Health Services and Support Overall Health
/in Policy Arizona, Minnesota Blogs, Featured News Home Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Health Equity, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Workforce Capacity /by Carrie Hanlon and Neva KayeState officials continue to develop new approaches to increase access to oral health services, and many of their innovations were highlighted at National Academy for State Health Policy’s 2019 conference. There are ongoing initiatives, such as deploying community health workers in Minnesota, a New Hampshire Medicaid and Women, Infants, and Children Nutrition Program pay-for-prevention, bundled […]
Expanding the Oral Health Workforce to Promote Overall Health: Minnesota Deploys Community Health Workers and Dental Therapists to Advance Equity
/in Policy Minnesota Reports Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Workforce Capacity /by Carrie Hanlon and Rebecca CooperExpanding the Oral Health Workforce to Promote Overall Health: Arizona Uses Dental Hygienists to Improve Hospital Patient Safety
/in Policy Arizona Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Workforce Capacity /by Neva KayeArizona recently made an innovative change in its scope-of-practice rules governing supervision of dental hygienists to enable hospitals to more easily use these providers to help prevent ventilator-assisted pneumonia (VAP) – the leading cause of death from nosocomial infections in critically ill patients. VAP, the second most common nosocomial infection, increases the duration of hospitalizations […]
50-State Scan: How Medicaid Agencies Leverage their Non-Licensed Substance Use Disorder Workforce
/in Policy Featured News Home, Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Workforce Capacity /by Eliza Mette, Charles Townley and Kitty PuringtonBehavioral Health Workforce Innovations: How Massachusetts and New York Engage Community Health Workers and Peers to Address Racial and Ethnic Disparities
/in Policy Massachusetts, New York Featured News Home, Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Health Equity, Population Health, Social Determinants of Health, Workforce Capacity /by Jill RosenthalAcknowledgements: The author wishes to thank the state officials and stakeholders in Massachusetts (Masachusetts Department of Public Health, Commonwealth of Massachusetts Executive Office of Health and Human Services) and New York (New York State Office of Mental Health, New York State Department of Health, Families Together in New York State) who graciously shared their experiences or reviewed a draft of this publication. Trish […]
State Medicaid Strategies to Promote Early Identification and Treatment of Pregnant Women with Substance Use Disorder
/in Policy Featured News Home, Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Health IT/Data, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health /by Carrie Hanlon, Taylor Platt, Eddy Fernandez and Lyndsay SanbornStates face rapidly rising rates of substance use disorder (SUD) and overdoses among pregnant women and increases in maternal deaths and poor birth outcomes, such as neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS).[1] To understand how states promote early identification of SUD and treatment access for pregnant women, the National Academy for […]
Promising State Strategies to Improve Continuity of Substance Use Disorder Treatment following Incarceration
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, Health System Costs, Physical and Behavioral Health Integration, Population Health /by Kristina Long and Jodi ManzCorrections-involved populations have higher rates of opioid and substance use disorders (SUD) than the general population, with more than 75 percent of recently released individuals reporting an SUD or a chronic medical and/or psychiatric condition. These individuals face numerous barriers to receiving treatment, including stigma, limited access to medication-assisted treatment (MAT), and disconnected systems of […]
Medicaid Incentives, Performance Measures, and Workforce Innovations Foster Access to Pediatric Oral Health Care
/in Medicaid Managed Care Featured News Home, Reports Child Oral Health, CHIP, CHIP, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Oral Health, Population Health, Program Design, Safety Net Providers and Rural Health, Special Populations and Services, Workforce Capacity /by Carrie Hanlon and Malka BerroWhile state policymakers across the country grapple with oral health care access challenges, California, Pennsylvania, and Connecticut are incentivizing their Medicaid plans and providers to deliver pediatric oral health services in innovative ways, with a special focus on community-based solutions. Under its Medicaid section 1115 waiver, California incentivizes dental care coordination by community health workers […]
Georgia 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 […]

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