Health Coverage and Access
FEATURED ARTICLE
What States Need to Know About the Alexander-Murray Insurance Stabilization Bill
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Christina CousartLast week, Sens. Lamar Alexander (TN) and Patty Murray (WA) released a bipartisan bill designed to bring short-term stability to the health insurance markets. The bill is co-sponsored by 22 senators — 11 Democrats, 11 Republicans, and one independent. While there are indications that Alexander and Murray secured the 60 votes needed for passage in […]
The Administration Ends CSR Subsidy Payments — What Comes Next?
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartOn Friday, Oct. 13, 2017,the Trump Administration announced it would no longer make cost-sharing reduction (CSR) payments to insurers offering coverage on health insurance marketplaces. The announcement cited guidance from the US Department Justice that questioned the legality of the appropriation for these payments (for more Cost Sharing Reduction Debate: Why This Matters and How […]
Week Three — Where Are We Now with CHIP Funding?
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP WritersCongress missed the Sept. 30, 2017, deadline to extend federal funding for the Children’s Health Insurance Program (CHIP), so there is currently no new or guaranteed future federal support for the program that covers an estimated 9 million children. There are two proposed bills to reauthorize CHIP – the Senate’s KIDS Act of 2017 and […]
States Could Gain More Flexibility to Manage Medicaid Programs — What Can They Learn from the 1990s AFDC Flexibility Experience?
/in Policy Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health /by Amy Clary and Trish RileyThe new Administration has signaled a willingness to give states more flexibility to address health and prevention in new and innovative ways under Section 1115 of the Social Security Act. This provision allows the Department of Health and Human Services to approve experimental and innovative projects that promote the goals of Medicaid. This comes at […]
State Medicaid Payment Reform Strategies Promote Improved Birth Outcomes
/in Policy Oklahoma, Tennessee, Wisconsin Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Healthy Child Development, Infant Mortality, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Value-Based Purchasing /by Derica Smith and Carrie HanlonImproving birth outcomes, including reducing infant mortality, is a priority for state Medicaid agencies that finance nearly half of all births each year. Three states have proven to be creative and effective laboratories in developing initiatives that use Medicaid payment and delivery reform strategies to lower costs, improve access to postpartum care, reward high-quality care, […]
Selling Health Insurance Across State Lines
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Jenn JensonToday we issue another brief in our series, Lessons from States: Questions for Policymakers, that puts a state lens on emerging proposals in the ACA repeal and replace debate. Our latest, Selling Health Insurance Across State Lines notes that over the last decade 21 states introduced legislation to sell across state lines, only five states enacted such […]
Explore the Limited Choices States Face as Washington Debates CSR Payments
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersAs lawmakers debate how to stabilize the individual market, one of the key sticking points is whether to fund cost-sharing reduction (CSR) payments instituted under the Affordable Care Act. CSRs subsidize insurance policies that offer lower-cost coverage to low-income consumers. This graphic offers a simple explanation of the limited choices states faced as they set rates for […]
Engaging Stakeholders in FQHC Value-Based Alternative Payment Methodologies
/in Policy Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Value-Based Purchasing /by NASHP StaffThe National Academy for State Health Policy (NASHP) designed this toolkit to support states interested in developing a value-based alternative payment methodology (APM) for federally qualified health centers (FQHCs). The following section on stakeholder engagement discusses key considerations and promising strategies based on lessons learned from states during NASHP’s Value-Based Payment Reform Academy. Key considerations […]
State Medicaid Agencies Venture into Value-Based Purchasing with Federally Qualified Health Centers
/in Policy Colorado, Hawaii, Michigan, Nevada, Oklahoma Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Value-Based Purchasing /by Rachel DonlonState Medicaid agencies have generally found it challenging to include federally qualified health centers (FQHCs) in value-based purchasing initiatives because of a federal law passed in 2000 that regulates how state Medicaid programs pay FQHCs for the care they provide. State Medicaid agencies are required to reimburse FQHCs through the Prospective Payment System (PPS), a […]
Wisconsin and Oklahoma Case Studies Show Marked Maternal Health Care Improvements
/in Policy Oklahoma, Wisconsin Reports Health Coverage and Access, Healthy Child Development, Infant Mortality, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care /by Anisha Agrawal and Derica SmithState Medicaid agencies, which fund half of all births in the United States, are increasingly looking for ways to improve birth outcomes and maternal health while reducing costs by improving medical care and avoiding medically unnecessary cesarean sections. Two case studies from Wisconsin and Oklahoma show how these states successfully improved health care access and quality by […]

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