Health Coverage and Access
FEATURED ARTICLE
Children’s Coverage Beyond CHIP: Policy Considerations for States
/in Policy Florida, Kentucky, West Virginia Webinars CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces /by NASHPAlthough federal funding for the Children’s Health Insurance Program (CHIP) was recently extended through FFY2017, it is unclear if CHIP will continue beyond that date. As a result, children may need to transition to other sources of coverage in the future.
Are We There Yet? An Update on Gobeille v. Liberty Mutual
/in Policy Vermont Blogs Health Coverage and Access, Health IT/Data /by NASHP and Alice WeissSummer is the season of the great American road trip, and as such the clarion call from back seats everywhere– Are we there yet? – will soon ring out across the nation. But, this summer for those in Vermont the call has a different meaning. In a May NASHP Health Policy Blog post, as the […]
Health Insurance Exchange Operations Chart
/in Policy Health Coverage and Access, State Insurance Marketplaces /by NASHP and Allison Wils*Chart updated June 12, 2015 As 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 […]
State Experiences Designing and Implementing Medicaid Delivery System Reform Incentive Payment (DSRIP) Pools
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, State Insurance Marketplaces /by Neva KayeSeveral states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]
The Mental Health Parity and Equity Addictions Act Proposed Rules – a Checklist for States
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHPState policymakers have a critical role to play in how the Mental Health Parity and Addictions Equity Act (MHPAEA) is operationalized in state programs, including Medicaid managed care organizations, alternative benefit plans, and the Children’s Health Insurance Program (CHIP). Now that CMS has released long-awaited proposed rules on implementation of the MHPAEA in these programs, […]
Conducting the Orchestra of Multi-Payer Payment Reform: Achieving Harmony in Arkansas and Vermont
/in Policy Arkansas, Vermont Blogs Care Coordination, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP, Tess Shiras and Anne GauthierImagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]
Don’t Take Your Eyes Off Vermont: Gobeille v. Liberty Mutual Insurance Company
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP and Alice WeissOkay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]
States Use Technology to Go the Distance for Rural Populations
/in Policy Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Safety Net Providers and Rural Health /by NASHP and Kaitlin SheedyStates with large rural populations face unique challenges in ensuring access to care. While approximately 16 percent of the U.S. population lives in rural America, only about 11 percent of physicians practice in rural locations. Additionally, individuals in rural areas face long travel distances to see primary care providers and specialists. Many states are using […]
Shaking Up the Delivery of Traditional Mental Health Services
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by Mary TakachSeveral primary health care organizations (PHCOs) that I have spoken with in the states and in Australia during my 10-month fellowship have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services. These referral centers can take the load off […]

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