Health Coverage and Access
FEATURED ARTICLE
Federal Proposal Broadens "Public Charge" Definition for Immigrants: What Are the Implications for States?
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Anita CardwellThe Department of Homeland Security (DHS) recently released a proposed rule to change public charge determination policies. Currently, the immigration status of individuals can be affected and individuals can be denied lawful permanent residence if they are determined to be a “public charge” based on their enrollment in cash assistance programs, such as Temporary Assistance […]
How States Are Meeting the Needs of Children and Families Affected by the Opioid Epidemic
/in Policy Kentucky, New Hampshire, Virginia Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Hannah Eichner and Becky NormileThe opioid epidemic is having a devastating impact on children and families and placing a significant strain on states as they work to develop effective programs and find new funding to respond to this crisis. To address the crisis and promote healthy child development, states are implementing innovative whole-family approaches to prevention and treatment (see […]
State Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis
/in Policy Kentucky, New Hampshire, Virginia Reports Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Hannah Eichner, Becky Normile and Carrie HanlonThe opioid epidemic continues to have devastating consequences for children and families across the country, with growing social and financial implications for states. The National Academy for State Health Policy (NASHP), in partnership with the Alliance for Early Success, interviewed Kentucky, New Hampshire, and Virginia officials representing state Medicaid, child welfare, and behavioral health programs […]
States Explore Strategies to Advance Palliative Care at #NASHPCONF18
/in Policy Blogs Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity /by Kitty Purington and Hannah DorrStates, as regulators, payers, and innovators of health care, are uniquely positioned to improve the lives of Americans with serious illnesses by promoting access to palliative care. The National Academy for State Health Policy (NASHP) is working with state leaders to expand and improve palliative care, explore how these services align with other initiatives (e.g., […]
How State Policymakers Spent Their Summer: Stabilizing Their Insurance Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP StaffState policymakers spent their summer crafting policies to educate and protect consumers in response to federal actions that threaten to alter state individual insurance markets. In recent months, the federal government issued new rules expanding the availability and sale of association health plans and short-term, limited duration plans and passed legislation effectively eliminating the individual […]
States Showcase New Programs that Integrate Oral Health and Primary Care
/in Policy Blogs Child Oral Health, CHIP, Health Coverage and Access, Maternal, Child, and Adolescent Health, Oral Health, Population Health /by Elinor HigginsPrevention and collaboration were the key themes as state policymakers explored innovative and cost-effective strategies to integrate oral health and primary care during #NASHPCONF18’s session, Cross Currents: Integration of Oral Health and Primary Care. Speakers underscored the importance of high-quality and regular dental care in preventing major oral and physical health problems and delivering cost […]
State Levers to Promote Lead Screening and Treatment: Rhode Island’s Strategies
/in Policy Rhode Island Reports CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Healthy Child Development, Housing and Health, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Population Health /by Tina KartikaAddressing lead hazards today generates future economic benefits and improved health outcomes for children. In partnership with the Health Resources and Services Administration, the National Academy for State Health Policy is publishing a series of case studies highlighting effective state initiatives to promote lead screening and treatment. This study explores how Rhode Island has used […]
As States Brace for ACA Lawsuit, Senate Considers Protections for Pre-existing Conditions
/in Policy Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by NASHP StaffTen Republican Senators recently introduced legislation to protect patients with pre-existing conditions. While these protections are already included in federal law though the Affordable Care Act (ACA), the proposed bill would preserve some of those protections in the event the ACA is overturned as a result of ongoing litigation. Specifically, the Senate bill proposes to: […]
#NASHPCONF18: Policymakers Share Their Approaches to Stabilize State Individual Insurance Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP StaffDuring NASHP’s recent state health policy conference, state insurance experts explored the dramatic changes that recent federal action has foisted on their individual health insurance markets. In a second report from this conference session, they highlight strategies they’ve used to stabilize markets and identify lingering challenges to insurance markets’ affordability and choice. While many state […]
Conference Presentations 2018
/in Policy Annual Conference, Blogs Behavioral/Mental Health and SUD, Blending and Braiding Funding, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, HIV/AIDS, Housing and Health, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Population Health, Prescription Drug Pricing, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by NASHP StaffBelow is a full list of the Conference speaker presentations.

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