Health Coverage and Access
FEATURED ARTICLE
Rounding the Bend: Enrollment and Outreach Updates from the State-based Marketplaces
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Lesa Rair and Tamara KramerB2015 has drawn to a close, and with it deadlines for consumers to have coverage on January 1. The Department of Health and Human Services has recently released an enrollment update, citing that over 11.2 million individuals have enrolled in plans through the marketplace, 2.7 million of which have come through the 13 states operating […]
The Kentucky ‘Wrap’: Decreasing Administrative Costs for Medicaid and FQHCs in MCO Payment Reconciliation
/in Policy Kentucky Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Quality and Measurement, Safety Net Providers and Rural Health /by Lesa RairStates that have implemented managed care in their Medicaid programs face the complex and time consuming task of reconciling managed care payments to federally qualified health centers (FQHCs) to ensure they are at, or above, their Prospective Payment System (PPS) rates. Several senior Medicaid officials raised this issue during a recent NASHP meeting on the […]
Addressing and Reducing Health Care Costs in States: Global Budgeting Initiatives in Maryland, Massachusetts, and Vermont
/in Policy Maryland, Massachusetts, Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement /by Lesa Rair and Sarabeth ZemelIn the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their Medicaid programs to cover low-income populations. More than 16 million people are newly insured under the law. In addition to expanding health coverage, […]
State Medicaid Expansion Plans: 2015 Recap and 2016 Possibilities
/in Policy Alabama, Alaska, Arizona, Arkansas, Iowa, Kentucky, Louisiana, Michigan, Montana, Ohio, Pennsylvania, South Dakota, Utah, Wyoming Blogs Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Anita CardwellAs 2015 comes to a close, Medicaid expansion activity in states has not slowed down. Currently, 30 states and the District of Columbia have expanded Medicaid, and six of these states have chosen to pursue waivers to implement alternative versions of expansion. As the new year approaches, a number of additional states are considering options […]
NASHP’s 2015 Health Policy Year in Review
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement /by Lesa RairNASHP has long been a key health policy go-to for states, and 2015 was no different. It’s hard to believe it’s only been a year since I rejoined the organization. We began 2015 hearing from governors across the country calling for progress in reducing health care cost growth, discussing state based exchanges, improving behavioral health […]
Illinois: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Illinois Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes State Legislation HB 1046, introduced in the 2013-2014 legislative session, specifically allows incarcerated individuals to apply for Medicaid prior to the date of their release. If these individuals are found to be eligible for Medicaid, they will be able to receive coverage after their release. In addition, the bill allows for […]
Wisconsin: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Wisconsin Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes Memorandums of Understanding (MOUs) between state agencies In 2004, the Department of Health Services (DHS) and the DOC in Wisconsin established their first MOU related to developing processes to allow eligible incarcerated individuals to enroll in Medicaid prior to release. The MOU was updated in January 2015 with revised language to […]
Washington State: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Washington Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes State Legislation Prior to passage of the ACA, processes to enroll justice-involved individuals with severe mental illnesses in Medicaid had been in place in Washington due to a directive based on state legislation. In subsequent years the state also enrolled Medicaid-eligible incarcerated individuals if they were admitted for inpatient health care […]
Rhode Island: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Rhode Island Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Medicaid Expansion, Physical and Behavioral Health Integration /by NASHPPolicy and Process Changes Contract Modifications Taking into consideration the needs of the justice-involved population newly eligible for Medicaid following passage of the ACA, the state negotiated new contracts with their Medicaid health plans and implemented certain changes to the benefit packages for these plans. For example, many behavioral health services that had previously been […]
Ohio: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Ohio Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes Memorandums of Understanding (MOUs) between state agencies The Ohio Department of Rehabilitation and Correction (ODRC) and the Ohio Department of Medicaid (ODM) have a MOU to facilitate the enrollment of justice-involved individuals via phone. The MOU describes how ODM telephone hotline representatives are provided with access to ODRC’s system which tracks […]

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