Health Coverage and Access
FEATURED ARTICLE
Seven Ways State Policymakers Can Promote Palliative Care
/in Policy Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Workforce Capacity /by Kitty PuringtonA patient with chronic obstructive pulmonary disease who was a frequent emergency room (ER) visitor now has a plan to manage his symptoms and now avoids the ER. A family caring for a parent with Alzheimer’s was considering nursing home placement, but after learning how to address challenging behavioral symptoms now feels equipped to continue […]
Using Data, Incentives, and Innovation, Three States Work to Improve Maternal Vaccination Rates
/in Policy California, Colorado, Wisconsin Blogs, Featured News Home Chronic Disease Prevention and Management, Health Coverage and Access, Health IT/Data, Immunization, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by Ariella LevisohnDespite the health benefits of immunizing pregnant women against influenza and pertussis (whooping cough) and protecting them and their infants from these life-threatening diseases, only half of pregnant women are vaccinated against both diseases and only one-third receive both the influenza and pertussis vaccines during pregnancy. Three states are trying a number of innovative approaches […]
Request for Proposals to Conduct Listening Sessions for the RAISE Family Caregiving Advisory Council
/in The RAISE Act Family Caregiver Resource and Dissemination Center Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, Council Meeting Materials and Resources, Health Coverage and Access, Long-Term Care, Population Health, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by NASHP StaffRecent 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 […]
States Feature Strategies to Better Integrate Care for Dual-Eligible Beneficiaries
/in Policy Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement /by Kitty PuringtonMany states already leverage Dual Eligible Special Needs Plans (D-SNPs ) to better manage care for individuals enrolled in both Medicare and state Medicaid programs. Recent changes to federal regulation, stemming the Bipartisan Budget Act of 2018, are expected to make D-SNPs more attractive for states seeking to better integrate care for this population. The […]
Massachusetts Takes a Next Step in Health Reform: Addressing Affordability through Value
/in Policy Massachusetts Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Total Cost of Care Benchmark, Value-Based Purchasing /by Trish RileyStates are incrementalists – enacting laws, amending them, and building on their successes – and that strategy is clearly visible in Massachusetts Gov. Charlie Baker’s bold and comprehensive legislative proposal, An Act to Improve Health Care by Investing in VALUE, announced last week. Baker’s proposal calls on payers and providers to increase expenditures on primary […]
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 […]
Legal Challenges to State Rx Laws
/in Policy Featured News Home, Toolkits Administrative Actions, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Legal Resources, Prescription Drug Pricing, State Rx Legislative Action /by NASHP StaffNavigating Legal Challenges to State Efforts to Control Drug Prices: PBM Regulation, Price Gouging, and Price Transparency Katherine L. Gudiksen, PhD, Samuel M. Chang, JD, and Jaime S. King, JD, PhD[1] In the last several years, states have increasingly attempted to use legislative efforts to control drug prices. Trade groups representing the interests of the […]
State Insurance Reforms Tackle Price Transparency, Rising Costs, and the Uninsured
/in Policy California, Connecticut, Nevada Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartSeptember was a busy time for state insurance regulators as they worked to finalize rate filings and prepare for the upcoming health insurance open enrollment season. While initial filings indicate nominal increases to individual market premiums for the 2020 plan year, insurance costs are escalating for individuals and families who receive coverage through their employers. […]
States Explore Emerging Evidence to Learn New, Innovative Uses of Telehealth
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Safety Net Providers and Rural Health, Workforce Capacity /by Johanna Butler and Christina CousartThe National Academy for State Health Policy (NASHP) recently launched the Telehealth Affinity Group, composed of state policymakers, that is examining emerging evidence from the Patient-Centered Outcomes Research Institute (PCORI) into innovative uses of telehealth to transform health care delivery systems in states. State and federal policymakers are eager to explore emerging patient-centered outcomes research […]

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