Health Coverage and Access
FEATURED ARTICLE
Fact Sheet Highlights Medicaid’s Critical Role in Screening for Maternal Depression
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Healthy Child Development, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by NASHP WritersDespite evidence that maternal depression is common and can impede the development of young children, it is often undiagnosed and untreated. Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. NASHP’s new fact sheet provides background on maternal depression while also presenting a summary of state Medicaid policies for […]
Federal Rule Delay Impacts States’ and Insurers’ 2020 Plans
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Maureen Hensley-QuinnState regulators are already working to develop guidance and rules that will determine health insurance plans’ benefits and costs in 2020. However, states lack critical information to make updated calculations because the federal government has not yet released its 2020 Actuarial Value (AV) Calculator. Why is the AV calculator important? AV is used to sort […]
State Reinsurance Programs Lower Premiums and Stabilize Markets — Oregon and Maryland Show How
/in Policy Maryland, Oregon Blogs Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffAcross the nation, in response to rising health insurance premiums and unsettled markets, a growing number of states are using reinsurance programs to reduce premiums and stabilize jittery markets. What is reinsurance? A reinsurance program provides funds to health insurers to offset the costs of covering consumers with high medical costs. Generally, reinsurance funds become […]
Q&A: Do Medicaid Alternative Payment Models for Prescription Drugs Add Value for States?
/in Policy Oklahoma Administrative Actions, Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Managed Care, Prescription Drug Pricing /by NASHP WritersIn late December, 2018, the National Academy for State Health Policy (NASHP) hosted a webinar exploring Oklahoma Medicaid agency’s use of innovative alternative payment models (APMs) through contracts negotiated with drug manufacturers, which link supplemental rebates to patient outcomes. The webinar, Medicaid Alternative Payment Models for Prescription Drugs: Do They Add Value for States?, featured […]
State-Based Marketplaces Open for Business
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersEnrollment is still open in some states and coverage continues across the nation. Washington, DC – On the heels of the Texas federal district court ruling against the Affordable Care Act (ACA), the National Academy for State Health Policy (NASHP) convened state health marketplace directors for reaction. They stressed the ACA remains the law of the […]
Webinar: How States Use 1332 Waivers to Develop Reinsurance Programs to Stabilize Markets
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffTuesday, Dec. 11, 2018 4 to 5 p.m. (EST) Listen to the Webinar. Download the Slides. Section 1332 waivers empower states to think creatively about how they can deliver quality and affordable health coverage to their populations. As new state leaders take office, time will be ripe for states to consider how to best use […]
Why Is Affordable Care Act Marketplace Enrollment Declining?
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersEarly reports from the Centers for Medicaid & Medicare Services indicate 2019 enrollment in the federally facilitated marketplace (FFM) could be lower than 2018, which would continue a declining enrollment trend first seen in 2017, which prompts the question – why? As this chart shows, policies and investment in outreach and application assistance for consumers […]
A Snapshot: Understanding Affordable Care Act Marketplace Enrollment 2014-2018
/in Policy Charts Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersVirginia’s BabyCare Program: Working to Improve Birth Outcomes through Medicaid
/in Policy Virginia Reports CHIP, CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home /by Megan LentNationally, Medicaid finances 45 percent of births and is a critical resource to improve maternal health and birth outcomes and lower avoidable costs. With an increasing number of initiatives focusing on pregnant and postpartum women, such as the federal Maternal Opioid Misuse (MOM) Model, states can learn from innovative programs, including Virginia’s BabyCare initiative. This […]
How States Provide Long-Term Services and Supports to Children in Medicaid Managed Care
/in Policy Blogs Behavioral/Mental Health and SUD, 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, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by Kate Honsberger and Erin KimFor years, states have used managed care delivery systems to help control costs and improve health care and outcomes for adult Medicaid beneficiaries with complex health care needs. Now, more than a dozen states are using managed care to provide long-term services and supports (LTSS) to children and youth with special health care needs (CYSHCN). […]

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