Health Coverage and Access
FEATURED ARTICLE
New Mexico: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy New Mexico Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes Policy Changes During the state’s 2015 legislative session SB 42 was introduced, which includes language indicating that incarceration is not a basis for denying or terminating an individual’s eligibility for Medicaid. The bill also permits individuals to apply for Medicaid while incarcerated and directs correctional facilities to inform the state Human […]
Colorado: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Colorado Behavioral/Mental Health and SUD, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access /by NASHPPolicy and Process Changes State Legislation In 2008, the Colorado state legislature passed and the governor signed SB08-006, which allows for the suspension of Medicaid benefits upon incarceration (see Title 25.5-4-205.5). Specifically, if an individual enrolled in Medicaid becomes incarcerated, the state law allows for an individual’s Medicaid enrollment to be However, based on conversations […]
Will There Be State Innovation Under Section 1332 Waivers?
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, State Insurance Marketplaces /by Lesa RairWill there be state innovation under Section 1332 Waivers? Since the ACA was enacted in 2010, a number of states have been looking at the law’s State Innovation Waiver, also known as Section 1332, as a way to reimagine the ACA’s approach to health insurance coverage. Apart from final rules issued in 2012 that focused […]
Health Care Cost Institute Emerging Uses of Claims Data
/in Policy Webinars 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 NASHPAn Update on Open Enrollment in the State-Based Marketplaces
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPThe winter holiday season is in full swing and as many people are counting down to their celebrations, the health insurance marketplaces are counting down to their December enrollment deadlines to ensure consumers are covered by January 1. To date, the marketplaces have reported steady progress on enrollment. As of November 28, CMS reported that […]
Dental Benefits and Health Insurance Marketplaces: An Update on Policy Considerations
/in Policy Reports Child Oral Health, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, Oral Health, State Insurance Marketplaces /by NASHP and Najeia MentionThe Affordable Care Act (ACA) includes pediatric dental services as one of ten Essential Health Benefits that health plans in the small group and individual markets must cover. Adult dental services are not required, but are being offered by marketplace plans as well. However, the way that the ACA structures dental coverage has created a […]
What’s at Stake for States? The Lines are Drawn in Gobeille v. Liberty Mutual
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Quality and Measurement, Value-Based Purchasing /by Lesa RairOn December 2nd, the US Supreme Court will take up Gobeille v. Liberty Mutual, a case which could limit states’ ability to collect essential data to advance payment reforms, address cost and quality and assure consumers have information and access to care. At issue is whether or not a state can compel a self-insured employer to […]
Talking Coverage: SBMs Keep Lines of Communication Open with Consumers
/in Policy California, Colorado, Connecticut, District Of Columbia, Massachusetts, Minnesota, Rhode Island, Vermont Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPHeading into the third week of open enrollment, early outlook has been positive for state-based marketplace (SBM) states. California recently wrapped up a 2,000-mile bus tour to “spotlight” the launch of open enrollment; Massachusetts and Vermont, which in prior years struggled with technical systems, report smooth enrollment via their enhanced systems; Minnesota is touting a […]
Improving Access and Building Behavioral Health Capacity Through Telehealth and Teleconsultation: Lessons from Mississippi and New Mexico
/in Policy Mississippi, New Mexico Webinars Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by NASHP StaffDuring this webinar, attendees hear from leaders from two nationally-acclaimed programs, including the Center for Telehealth at the University of Mississippi Medical Center and Project ECHO. Discussion includes overviews of each program, including identification of best practices, lessons learned, and key takeaways for state policymakers. Audience Q&A follows.
Corrections and Medicaid Partnerships: Strategies to Enroll Justice-Involved Populations
/in Policy Colorado, New Mexico, Wisconsin Webinars Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHP StaffMany individuals involved in the criminal justice system are now eligible for Medicaid in states that expanded the Medicaid program under the Affordable Care Act. Health coverage can provide individuals who are leaving incarceration with access to physical and behavioral health services critical to their successful reentry into the community. In some states, correctional agencies have partnered with Medicaid agencies to implement procedures to begin the Medicaid application process as individuals are nearing their incarceration release dates. This webinar features three states—Colorado, New Mexico and Wisconsin—that have initiated efforts to enroll justice-involved individuals in health coverage.
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