Health Coverage and Access
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Webinar: Value-Based Alternative Payment Methodologies for Federally Qualified Health Centers: Lessons from Colorado and Minnesota
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Safety Net Providers and Rural Health, Value-Based Purchasing /by Hannah Dorr and Rachel DonlonCost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsAn update on CSRs – Aug. 18 Since publication of this blog, two major developments have occurred. The White House indicated that the Administration will make CSR payments for August. The Administration has not commented about future payments; the next is due Sept. 20. On Aug. 15, the Congressional Budget Office (CBO) released an analysis […]
State of Play: Latest Update on Federal Health Reform Efforts
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartAfter recent failed efforts to pass a health care repeal or replace bill, Congress spent much of last week re-grouping on a future healthcare strategy. While most current signals point to the likely end of a full ACA legislative repeal effort, there is pervasive recognition that there are issues that need to be urgently addressed […]
Unpacking the State-Based Marketplaces
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsAs policy makers debate the future of health care, the twelve state-based marketplaces (SBMs) and five state marketplaces using the federal platform (SBM-FPs) have proven themselves sustainable, solvent examples of how state flexibility can be leveraged to bridge public and private interests to improve lives and drive stable markets. As a result of these efforts, states […]
National Webinar: Integrating Oral Health into Oregon’s Coordinated Care Model
/in Policy Oregon Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Oral Health /by NASHP StaffAn Update on Enrollment and Uninsured Rates in States
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsBelow, we provide enrollment information, broken out by new enrollees and re-enrollees, for states operating State-based Marketplaces (SBMs), states operating State-based Marketplaces on the federal platform (SBM-FPs), and states using the Federally-facilitated Marketplace (FFM) during the 2016-17 Open Enrollment Period (November 1, 2016-January 31, 2017). [1] This includes data from the 2017 Open Enrollment Period […]
State CHIP Changes Are Coming Soon
/in Policy Blogs CHIP, CHIP, Health Coverage and Access, Maternal, Child, and Adolescent Health /by Anita CardwellAs we enter into August, there is increased pressure on states because federal funding for the Children’s Health Insurance Program (CHIP) remains uncertain beyond September 30, which means states are now facing critical decision points. States do not know if and when Congress will continue funding CHIP and even if federal funds are extended will […]
BCRA and the Byrd Rule
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersThe Better Care Reconciliation Act (BCRA) is being considered under a special legislative process known as budget reconciliation, which limits debate and allows a bill to pass with a simple majority. Reconciliation rules include the Byrd Rule requiring that bills passed through this process only include changes that directly affect the federal budget. On July […]
Strategies to Strengthen Health and Housing Partnerships Through Medicaid to Improve Health Care for Individuals Experiencing Homelessness
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by Hannah Dorr and Charles TownleyIndividuals experiencing homelessness are disproportionately impacted by chronic medical and behavioral health conditions, and many of these individuals lack health insurance or a usual source of care. State Medicaid agencies and safety net providers are important partners in meeting the medical, behavioral health, and social service needs of individuals and families experiencing homelessness. In this […]
What the House and Senate Health Care Bills Mean for States
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffJuly 25, 2017 House and Senate Bills, ACA Comparison Chart (Updated) Blog: BCRA and the Byrd Rule Today, the Senate is expected to vote on a motion to bring a health care bill to the floor for debate. While it is yet uncertain which bill will be brought forward (the American Health Care Act, the […]

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