Health Coverage and Access
FEATURED ARTICLE
Accessing the Consumer User Experience
/in Policy Webinars Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersThe Nuts and Bolts of Medicaid Reimbursement for Developmental Screening: Insights from Georgia, Minnesota, and North Carolina
/in Policy Georgia, Minnesota, North Carolina Reports CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Najeia Mention and Felicia HeiderThe early years of a child’s life are critical for growth and development. Identifying developmental delays early and providing appropriate referral and treatment can help prevent more severe issues as well as considerable costs. State Medicaid agencies can play an important role in promoting early identification of developmental delays by reimbursing and tracking the use […]
Chronic Pain Management Therapies in Medicaid: Policy Considerations for Non-Pharmacological Alternatives to Opioids
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by Hannah Dorr and Charles TownleyAlthough most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]
Revisiting Churn: An Early Understanding of State-Level Health Coverage Transitions Under the ACA
/in Policy Reports Health Coverage and Access, State Insurance Marketplaces /by Anita CardwellHealth coverage transitions—sometimes referred to as churn—have always existed to some degree, but with the Affordable Care Act (ACA) there are additional possibilities for churning to occur across multiple coverage sources. This new NASHP brief examines current efforts in some states to measure these coverage transitions and provides broader context on the issue of churn. […]
Health Insurance Exchange Operations Chart
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersAs states continue to refine the operations of their health insurance exchanges, regardless of the exchange type (state-based exchange, state partnership exchange, or federally facilitated marketplace), it’s helpful to compare and contrast operational resources. This chart contains each state’s resources and forms for three distinct, and fundamentally important, areas of exchange operation: applications, appeals, and […]
Data for Change: How States Have Used APCDs to Drive Innovation
/in Policy Maryland, New Hampshire Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Tamara KramerState-run all-payer claims databases (APCDs) are a critical public resource and serve a unique function in the current era of health care reform. APCDs, which are operating in 18 states, provide fair and equal access to independently validated data that can both support evidence-based policymaking as well as help patients navigate the health care system. […]
Webinar: Advancing Health through Accountable Communities: A Conversation with States
/in Policy Webinars Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement, Value-Based Purchasing /by NASHP StaffUpdate: Sixth Circuit Declines to Expand ERISA; State Assessments on Self-Funded Insurers Upheld
/in Policy Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement /by Tamara KramerIn a recent blog, NASHP highlighted a 6th Circuit case that had the potential to jeopardize the future of state assessments on self-funded plans (Self-Insurance Institute of America Inc. v. Snyder et al.). In March, the Supreme Court instructed the 6th Circuit to take a second look at a recent decision where the lower court […]
Growing Number of States Enacting Laws to Combat the Heroin and Opioid Crisis
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Physical and Behavioral Health Integration, Safety Net Providers and Rural Health /by NASHP StaffSince the beginning of 2016, several states have passed legislation aimed at curbing the opioid and heroin epidemic. NASHP has been following this legislation closely and has developed a series of blogs outlining major provisions within the laws. Rhode Island Becomes the Latest State to Pass Opioid Legislation in 2016 New York Joins State-Led Fight to Combat Opioid […]
New York Joins State-Led Fight to Combat Opioid Crisis, Passes New Legislation
/in Policy New York Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health /by Charles TownleyOn June 22, 2016, New York Governor Andrew Cuomo signed a package of seven bills related to opioids and treatment for opioid addiction. The legislation, which includes recommendations from the governor’s Heroin and Opioid Task Force, is aimed at combatting the heroin and opioid crisis affecting the state. The state’s FY2017 budget includes nearly $200 […]

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