Health Coverage and Access
FEATURED ARTICLE
CMS Seeks Input on State Innovations in Pediatric Alternative Payment Models
/in Policy Blogs CHIP, CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Quality and Measurement /by NASHP StaffHealth care delivery system innovations in Medicaid have primarily focused on adult populations as states seek to improve the quality of care and control costs for beneficiaries with chronic and complex health care needs. Many innovations in child-serving systems have been integrated into broader state reforms for adults and through Centers for Medicaid and Medicare […]
HHS Invites More 1332 Waiver Requests Citing Alaska
/in Policy Alaska Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersQuick Summary of the Alaska Reinsurance Plan Yesterday, Health and Human Services (HHS) Secretary Tom Price issued a letter to governors encouraging them to take advantage of Sec. 1332 State Innovation Waivers under the Affordable Care Act (ACA) and cited Alaska ‘s 1332 waiver request to HHS as an example. Alaska’s waiver seeks federal funds […]
Snapshot: State Leaders Talk AHCA
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by State LeadersOn March 7, NASHP issued a chart summarizing how the American Health Care Act, passed out of House committees the day before, differed from the Affordable Care Act (ACA). In addition, NASHP held a summit with state leaders to discuss those changes and how they might affect states. These leaders represented the diversity of states […]
The Prevention and Public Health Fund — Lessons from States; Questions for Policymakers
/in Policy Florida, Louisiana, Pennsylvania, Texas, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Jill RosenthalThe American Health Care Act, which proposes to repeal and replace the Affordable Care Act (ACA), would dismantle the Prevention and Public Health Fund (PPHF). States received over $625 million from the PPHF in fiscal year 2016,[i] and stand to lose more than $3 billion over five years if it is repealed.[ii] The bill would […]
The State of State Health Policy: Governors’ 2017 State of the State Addresses
/in Policy Charts Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffState of the State speeches provide governors with an opportunity to highlight recent policy successes as well as outline key plans and issue areas of focus for the coming year. These speeches are generally strong indicators of governors’ main priorities and sometimes also include specific proposal suggestions and funding recommendations for deliberation by legislatures. Currently, […]
Empowering and Protecting Consumers: ERISA Thwarts State Innovation
/in Policy Reports Health Coverage and Access, Health System Costs, Hospital/Health System Oversight, Prescription Drug Pricing, State Insurance Marketplaces, State Rx Legislative Action /by Trish Riley and Erin Fuse Brown, JD, MPHAs the national debate over the ACA continues, this publication looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]
Latest Data on SBEs & SBM-FPs Enrollment
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffThe 2017 open enrollment period for individual coverage has now ended. The figures below represent the latest data on exchange enrollment for states that operate State-based Marketplaces (SBMs) or State-based Marketplaces on the federal platform (SBM-FPs). [i] “Covered California Finishes Fourth Open Enrollment with More Than 412, 000 New Consumers and Strong Participation from Young Enrollees” […]
Majority of States Planning on Federal Funding for CHIP to Continue According to New Nationwide Survey of CHIP Directors
/in Policy Blogs CHIP, CHIP, Essential Health Benefits, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP StaffThe National Academy for State Health Policy (NASHP) today released the findings of a nationwide survey of CHIP Directors that shows a majority of states are planning upcoming budgets on the assumption federal funding for the Children’s Health Insurance Program (CHIP) will continue. Only five states have begun the initial efforts of contingency plans should funding not […]
Lead Screening & Treatment in Medicaid and CHIP
/in Policy CHIP, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Lead Screening and Treatment, Maternal, Child, and Adolescent Health /by Alexandra KingState Medicaid agencies and CHIP programs play a significant role in their state’s lead screening procedures and provision of treatment services for children. This fact sheet was created following a recent webinar with state officials to share key information. It provides data on lead toxicity in children, the potential health impacts, the federal CMS requirements for screening […]
Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Hannah Dorr and Charles TownleyAs the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]

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