Health Coverage and Access
FEATURED ARTICLE
Overview of State Programs that Utilize an Assessment of Self-Funded ERISA Plans and/or Third Party Administrators
/in Policy Charts Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHP StaffAs described in a recent NASHP blog, the Supreme Court’s decision in Gobeille v Liberty Mutual, which denied the state’s ability to mandate claims submission from self-funded ERISA health plans, may have started us down a slippery slope. In light of this new approach to what state requirements are preempted by ERISA, the Supreme Court asked […]
Are States Losing Key Tools for Health Reform?
/in Policy Michigan, Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by Lesa RairEngaged in multi-payer payment reforms? Seeking information about the cost of care? About the rate of opioid prescribing? Assessing carriers to generate needed revenue to support state activities like vaccines for children? You might soon hit a federal stoplight. The Supreme Court’s recent decision in Gobeille v Liberty Mutual, which denied the state’s ability to […]
Exchange Governance Chart
/in Policy Charts Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffThis chart highlights steps states have taken to create an exchange. If you’d like to read more about exchange policy decisions, check out our State and Partnership Exchange Policy Decisions chart. This chart is a collaborative effort with you, the user. Know of something we should add to this compilation? Eager to update a fact we’ve included? […]
State Health Exchange Leadership Network Contact Information
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffState Health Exchange Leadership Network c/o National Academy for State Health Policy 1233 20th Street NW, Suite 303 Washington, DC 20036 Phone: (202) 903-0101 Email: exchangers@oldsite.nashp.org. Media Inquiries: Jennifer Laudano jlaudano@oldsite.nashp.org
Using CHIP and the ACA to Better Serve Children Now and in the Future
/in Policy Reports Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, State Insurance Marketplaces /by Anita CardwellStates have made great strides in providing children in families with low-to-moderate income appropriate and affordable health coverage over the past two decades through Medicaid and the Children’s Health Insurance Program (CHIP). The Affordable Care Act (ACA) created new coverage options for other populations, including parents who were previously uninsured. However, the ACA also includes […]
State Insurance Commissions are Children’s Coverage Partners Too
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP WritersAccording to 2014 Census data more than half (61 percent) of all children in the United States are covered by private insurance, and 43 percent have public coverage (some children with private insurance are also enrolled in Medicaid.) Over the years many efforts, including much of the children’s coverage work at NASHP, have focused on […]
Building a More Efficient Marketplace: Lessons from DC Health Link’s Experience with Open Source Code
/in Policy Reports Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, Health System Costs, State Insurance Marketplaces /by NASHP WritersEvery open enrollment affords the health insurance marketplaces new opportunities to introduce innovative ways to improve their systems while lowering costs. For the 2015-16 open enrollment season, DC Health Link, Washington DC’s health insurance marketplace, levied such an opportunity by transferring their marketplace onto a new open source code solution. Agile, efficient, and cost effective, […]
Understanding Medicaid Claims and Encounter Data and their Use in Payment Reform
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHP WritersStates across the country are fully engaged in delivery system and payment reform efforts to improve care and lower costs in their Medicaid programs. Data is a critical component of these efforts. This NASHP brief provides an introduction to two types of Medicaid utilization data—fee-for-service claims data and managed care encounter data—and, based on examples […]
All Eyes on Michigan: Will Assessments on All Health Plans Survive
/in Policy Michigan Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by Lesa Rair and Tamara KramerOn Monday, the United States Supreme Court sent back a Michigan case for a new finding that could forbid state assessments on self funded plans. The Supreme Court told the Sixth Circuit to reconsider its ruling that a Michigan health insurance tax was not preempted by the Employee Retirement Income Security Act (ERISA) in light of the Supreme Court’s decision […]

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