Health Coverage and Access
FEATURED ARTICLE
Implementing the Medicaid Managed Care Rule: A View from One State
/in Policy Virginia Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP WritersBy: Guest Blogger, Cheryl Roberts, Deputy Director of the Virginia Department of Medical Assistance Services and NASHP Academy Member During the 2016 NASHP Annual State Health Policy Conference, I gave my thoughts on 15 things that made me say, “Hmm” about the CMS Managed Care Regulations, aka The Mega Regs. I could note 40 but […]
Primary Care Provider Burnout: Implications for States & Strategies for Mitigation
/in Policy Virginia Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by NASHP WritersProvider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this brief addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as […]
Webinar: Improving Care for Dual Eligibles: How States are Innovating through Medicare Advantage D-SNP Plans
/in Policy Arizona, Minnesota, Tennessee Webinars Care Coordination, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Population Health /by Jenn JensonSelected State Initiatives on Medicaid Financing of Perinatal Regionalization
/in Policy California, Florida, Georgia, Illinois, South Carolina Charts Health Coverage and Access, Healthy Child Development, Infant Mortality, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care /by Alexandra KingToday, nearly 40 states have a system of risk appropriate perinatal care. As the payer for nearly half of all births nationwide, Medicaid is a key partner in the financing of perinatal regionalization. Medicaid covers specific services that can maximize access to risk-appropriate care for mothers and infants, including the coverage of pre- and post-natal […]
Reflections on Repeal and Replace
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by Lesa RairAmidst discussion of repealing, delaying, and replacing the ACA, what’s ahead for health reform is uncertain, but may be informed by reflection on what’s gone before. In January 2000, the National Academy for State Health Policy (NASHP) convened a bipartisan group of state health policy leaders to discuss lessons learned from 25 years of state […]
Access for the Uninsured: Lessons from 25 Years of State Initiatives (The Flood Tide Forum, Rereleased from January 2000)
/in Policy Reports Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairIn light of the current and anticipated debates surrounding health policy and access NASHP is rereleasing this report originally published in January 2000. See Trish Riley’s Latest Blog Read the Full Publication.
Addressing Inequities through Innovations in Oral Health Policy
/in Policy California, Connecticut, Maine, Oklahoma, Oregon, Washington Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Managed Care, Oral Health, Population Health /by Lesa Rair and Najeia MentionStates have made great strides in improving children’s oral health, this includes a greater number accessing the dentist and a decline in untreated caries—tooth decay. Medicaid and the Children’s Health Insurance Programs (CHIP), which insure our nation’s most vulnerable populations, have played an important role by covering dental benefits for children. Some Medicaid agencies opted […]
21st Century Cures Act: Implications and Opportunities for States
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health /by Jenna BluesteinThe 21st Century Cures Act (“Cures”), signed into law on December 13, 2016, is being heralded as landmark legislation for biomedical innovation. Cures funds new research, streamlines the development of new drugs, and supports the inter-operability of health information systems. State policymakers, however, may want to focus their attention on Cures’ myriad behavioral health provisions, […]
State Leaders Convened for National Issues Teleconference
/in Policy Blogs CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Value-Based Purchasing /by Lesa RairFollowing on the heels of our Leader’s Summit, held in October, last night NASHP convened our Academy members in a national issues forum teleconference to update each other and discuss emerging concerns and opportunities. From that discussion, several themes emerged: The uncertainty of policy direction confounds states and markets and leads to instability As policy […]
NASHP Leaders’ Summit: State Health Policy and the Next Administration
/in Policy Reports CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, State Insurance Marketplaces /by NASHP StaffRead the full brief here. Summary As President Trump and the new Congress take office in 2017, fundamental changes to alter the health care system will be debated. States have been actively engaged in health reform, embracing changes to insurance markets, new investments and innovation in delivery system and payment reform, as well as public […]
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