Health Coverage and Access
FEATURED ARTICLE
Ten State-Based Exchange Executives Tell Senate Leaders Graham-Cassidy Will Disrupt Insurance Markets and Prove Impossible to Implement
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Jennifer LaudanoFor Immediate Release: Sept. 25, 2017 Contact: Jennifer Laudano, 202-507-7584 jlaudano@oldsite.nashp.org WASHINGTON, DC: Today, executive directors from 10 state-operated health insurance marketplaces expressed serious concerns over the financial cuts, drastic policy changes, and dramatically altered insurance funding model proposed in the Graham-Cassidy-Heller-Johnson amendment. In a Sept. 25, 2017, letter to Senate leadership, state insurance marketplace […]
With the Clock Ticking on Health Care, the Senate Weighs Bipartisanship vs. a Repeal and Replace Revival
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, State Insurance Marketplaces /by Anita CardwellTime is running out for Congress to reform the nation’s health care system, and the Senate is considering two options that could impact state health care policies dramatically. The choices include a bipartisan bill to stabilize the Affordable Care Act’s (ACA) insurance markets and give states the information they need to set insurance rates for […]
Facing Budget Uncertainties, States Seek New Opportunities to Fund Successful Home Visiting Programs
/in Policy Minnesota, New York, Virginia Blogs Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health /by Becky Normile and Karen VanLandeghemStates have a long history of using home visiting programs to deliver cost-effective interventions to vulnerable children and families, and recent federal investments have been instrumental in the expansion of evidence-based home visiting programs across the United States. Due to budget uncertainties at the state and federal level, states are exploring opportunities to maximize investments […]
Moving Toward Health Care Compromise: Bipartisan Hearings Take Center Stage
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsThis month, the Senate Health Education and Labor (HELP) committee began to craft a bipartisan bill to bring short-term stability to the Affordable Care Act’s (ACA) individual insurance market. The committee, led by Chairman Lamar Alexander (R-TN) and ranking member Patty Murray (D-WA), hosted a series of four hearings featuring insurance commissioners, consumer advocates, a […]
Report Highlights Medicaid Funding of Home Visiting Services for Women, Children, and Families
/in Policy Kentucky, Michigan, Minnesota, New York, Oklahoma, South Carolina, Virginia Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health, Population Health /by Alexandra King and Karen VanLandeghemHome visiting programs have a long track record of improving health and life outcomes of children and families, such as increasing school readiness and reducing hospitalizations, while generating long-term savings. States use home visiting to target interventions for some of their most vulnerable populations and utilize multiple private and public funding streams, including Medicaid, to […]
Learn How Oregon Is Integrating Oral and Physical Health in Medicaid Through Its Coordinated Care Organizations
/in Policy Oregon Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Oral Health /by Najeia MentionMany adults enrolled in Medicaid lack adequate dental care coverage, which is essential to overall health. Oregon is a pioneer, using Medicaid coordinated care organizations to offer integrated physical, mental health, and now oral care. A new NASHP report, supported by the DentaQuest Foundation, examines Oregon’s innovative payment and financing structures, incentive measures, and key […]
Health Reform Hub: Repeal, Replace, or Repair?
/in Policy Toolkits Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersRisky Business: How State and Federal Insurance “Risk” Calculations Could Stabilize ACA Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Corinne AlbertsAs Congress returns from its summer break, the country is two months away from the start of open enrollment in the Affordable Care Act’s (ACA) marketplace, leaving little time for policymakers to develop solutions for 2018. With bipartisan hearings on market stabilization scheduled, this blog examines how different approaches to calculating risk could help state […]
Twelve State-based Exchanges Outline Strategies to Stabilize Individual Market
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Jennifer Laudanojlaudano@oldsite.nashp.org Full text of the letter is available here. Today, Executive Directors from twelve health insurance marketplaces sent a letter to leadership of the Senate Health, Education, Labor and Pensions (HELP) Committee detailing consensus strategies to bring immediate stability to the individual market. The state-based marketplaces (SBMs) and state-based marketplaces operating on the federal platform (SBM-FP) […]
Value-Based Purchasing for Managed Long-Term Services and Supports
/in Policy Annual Conference Chronic and Complex Populations, Health Coverage and Access /by NASHP WritersTuesday, October 24th 1:30PM-3:00PM While value-based purchasing (VBP) has become fairly common for medical care, only a handful of states have adopted this model for Medicaid Managed Long-term Services and Support (MLTSS) contracts. Speakers discuss strategies their states are using to introduce VBP into MLTSS — including contracting levers, payment methods, and quality measures — […]

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