Health Coverage and Access
FEATURED ARTICLE
State-Specific Medicaid Program Changes
/in Policy Arizona, Arkansas, Indiana, Kentucky, Maine, Massachusetts, Wisconsin Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Anita CardwellThe following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]
Estimated AHCA and ACA Premiums and Tax Credits by State, Income, Age, and Select Counties
/in Policy Charts Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffThese sheets supplement NASHP’s brief, Health Care is Local: Impact of Income and Geography on Premiums and Premium Support. Using data and modeling from the Kaiser Family Foundation, we present estimated premiums and tax credits under current law created by the Affordable Care Act (ACA) and under the American Health Care Act (AHCA), as passed by […]
How might premium costs differ within states under the ACA and AHCA ?
/in Policy Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffAccounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting in […]
Health Care is Local: Impact of Income and Geography on Premiums and Premium Support
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP WritersThe American Health Care Act (AHCA) proposes a significant change in how and to whom premium tax credits are dispersed, proposing a flat rate adjusted only by age. The Affordable Care Act (ACA) bases its premium tax credit calculation on three factors: age, income and local cost of insurance premiums. While there has been extensive […]
County-by-County Premium Variation
/in Policy Charts, Maps Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersBreaking New Ground: Medicaid Managed Care for Children with Chronic and Complex Health Conditions
/in Policy Annual Conference Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP WritersWednesday, October 25th 11:00AM-12:30PM As of June 2017, 48 states used managed care delivery systems — either managed care organizations, or primary care management models — to provide Medicaid services to children and youth with special health care needs. This session explores three state approaches to providing Medicaid services to children through these systems. The […]
Rapidly Transforming Delivery Systems
/in Policy Annual Conference Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP WritersTuesday, October 24th 3:30PM-5:00PM States are now undertaking a myriad of transformation initiatives to rapidly revamp, strengthen, and sustain their Medicaid delivery systems. Session speakers, including Medicaid directors from Massachusetts and New Hampshire and a Medicaid and CHIP Payment and Access Commission representative, provide an overview of the delivery system reform landscape and share lessons […]
Timberrrrrrrr! Chopping the Cost of Prescription Drugs
/in Policy Annual Conference Health Coverage and Access, Prescription Drug Pricing /by NASHP StaffWednesday, October 25th 11:00AM-12:30PM States need innovative approaches to manage the rising cost of prescription medicines. The United States has the highest prescription drug prices in the world, which continue to rise at an alarming rate – averaging 10 percent annually since 2013. NASHP convenes state legislators and policy leaders who have taken bold steps […]
Lemons or Lemonade: Leveraging the Medicaid Managed Care Rule to Improve Managed LTSS
/in Policy Annual Conference Chronic and Complex Populations, Health Coverage and Access /by NASHP WritersWednesday, October 25th 9:15AM-10:45AM Nearly half of all states now capitate Medicaid Managed Long-term Services and Supports (MLTSS), and some have achieved significant outcomes. New federal rules, such as the Medicaid managed care rule and the Home and Community Based Services rule, pose challenges, but they can also help states improve services and overcome resistance […]
Advancing Children’s Behavioral Health Through Systems Integration
/in Policy Annual Conference Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP WritersWednesday, October 25th 9:15AM-10:45AM Early life experiences profoundly impact children’s development. Mental health issues and adverse events during childhood are associated with lower educational achievement, involvement in the criminal justice system, and poorer health outcomes in adulthood. With numerous systems serving children, states are adopting cross-cutting strategies to promote children’s behavioral health and establish early […]

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