Health Coverage and Access
FEATURED ARTICLE
2017 CHIP Directors Survey Results
/in Policy Reports CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffFederal funding for the Children’s Health Insurance Program (CHIP) is set to end on September 30, 2017 without Congressional action. In December 2016, The National Academy for State Health Policy (NASHP) surveyed state CHIP officials to learn about any recent changes in their CHIP programs and how states are budgeting and planning for CHIP considering its uncertain future. […]
Health Savings Accounts — Lessons from States; Questions for Policymakers
/in Policy Indiana, Michigan Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersAs Congress continues its Affordable Care Act (ACA) repeal effort, and evolving replacement options are in the spotlight, NASHP continues to track issues that appear in replacement proposals and provide state perspectives. In past weeks we’ve looked through a state lens at high-risk pools and selling insurance across state lines. Today we tackle another element of possible ACA replacement proposals: health savings accounts […]
Primary Care Provider Burnout: What States Need to Know and What They Can Do About It
/in Policy Virginia Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP WritersHealth Reform Hub: Repeal, Replace, or Repair?
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffVisit the updated Health Reform Hub here! ___________________________________________________________________________________ House and Senate Bills, ACA Comparison Chart A Crosswalk of ACA Provisions with Proposed Language Under the House American Health Care Act and the Senate Better Care Reconciliation Act. The National Academy for State Health Policy (NASHP) has released an updated chart and accompanying fact sheets that reflect a revision to […]
High Risk Pools Deja Vu – Lessons from States, Questions for Policymakers
/in Policy Minnesota, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Prescription Drug Pricing, State Insurance Marketplaces /by Anita CardwellCongress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]
State Checklist: Medicaid-Related Provisions Impacted by an ACA Repeal
/in Policy Charts CHIP, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Managed Care, State Insurance Marketplaces /by NASHP StaffThis worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other […]
An Overview of ACA Provisions and Their Repeal Implications for States
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Population Health, State Insurance Marketplaces /by NASHP StaffMuch has been written about the impact of ACA repeal on consumers and health insurance markets. With this chart NASHP provides an overview of ACA provisions and snapshot of the implications to states if the ACA is repealed. States are the primary regulator of insurance and as such had laws in place prior to the enactment of […]
Sharing Accountability: State and Local Collaborations to Address the Behavioral Health Needs of Justice-Involved Individuals
/in Policy Annual Conference, Blogs 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 System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP StaffIndividuals involved in the criminal justice system often have complex health needs—rates of mental illness, substance abuse, and other health conditions are as much as seven times higher for justice-involved individuals than the general population.[1] Behavioral health issues in particular are prevalent among the justice-involved population. Estimates are that approximately 56 percent of individuals in […]
Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems
/in Policy California, Florida, Georgia, Illinois, South Carolina Blogs CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health /by Alexandra KingPreterm birth, which accounts for approximately 11.5 percent of all births and 50 percent of pregnancy-related costs, is the largest cause of infant morbidity and mortality. This creates a significant burden on the U.S. healthcare system. A leading strategy for decreasing infant morbidity and mortality related to preterm birth is for states to use perinatal […]
New Report Shows Increase in ED Utilizations for Behavioral Health – What States Can Do
/in Policy Delaware, Oregon, Washington Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health /by Jenna BluesteinThe Agency for HealthCare Research and Quality (AHRQ) released an eye-opening study this past week, indicating that utilization of emergency department (ED) services due to behavioral health conditions increased sharply from 2006 to 2013. The brief “Trends in Emergency Department Visits Involving Mental and Substance Use Disorders,” highlights a 52 percent increase in ED utilization […]

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