Health Coverage and Access
FEATURED ARTICLE
Improving Integration of Dental Health Benefits in Health Insurance Marketplaces
/in Policy Reports Health Coverage and Access /by NASHP, Keerti Kanchinadam and Catherine HessThe Affordable Care Act includes pediatric dental services as one of ten essential health benefits that state and federal health insurance marketplaces must offer. However, dental is treated differently from other essential health benefits, creating unique implementation challenges. With support from the DentaQuest Foundation, NASHP held an expert meeting with state and federal marketplace officials, […]
Creating the Perfect Storm for Community-Based Prevention
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health /by NASHPby Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions April 2014 The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of […]
Financing Prevention: How States are Balancing Delivery System & Public Health Roles
/in Policy Reports Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Carla Plaza, Abigail Arons, Jill Rosenthal and Felicia HeiderThis report, developed by the National Academy for State Health Policy and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement […]
Facilitating Access to Health Coverage for Juvenile Justice-Involved Youth
/in Policy Reports Health Coverage and Access /by NASHP, Kimm Mooney, Sarabeth Zemel and Diane JusticeAs states and juvenile justice stakeholders work to facilitate health coverage and access for system-involved youth, they can draw upon the experiences of their counterparts across the country to improve eligibility, enrollment, and outreach processes. Medicaid eligibility strategies in several states have already facilitated seamless coverage for juvenile justice-involved youth, and consumer assistance programs created […]
Quality Measurement to Support Value-Based Purchasing: Aligning Federal and State Efforts
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP and Mike StanekPublic payers are moving to implement payment strategies that reward value in the health care system by linking payment to quality. This report—the third in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights quality measurement strategies underpinning value-based purchasing initiatives at the federal and state […]
Identification and Assessment of Children and Youth with Special Health Care Needs in Medicaid Managed Care: Approaches from Three States
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP, Julien Nagarajan and Joanne JeeIncreasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]
Medicaid Managed Care for Children and Youth with Special Health Care Needs
/in Policy Blogs Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPby Joanne Jee February 2014 Where some may see opportunities for improved delivery and coordination of care and cost savings, others may wonder about possible disincentives for providing the full array of needed services. For more vulnerable populations, such as children and youth with special health care needs (CYSHCN), the concerns can be heightened.
Coverage for Pregnant Women Under the ACA
/in Policy Blogs Health Coverage and Access /by NASHPBy Jennifer Dolatshahi January 2014 This blog post was originally published on State Refor(u)m’s State of Implementation Blog The Affordable Care Act (ACA) creates new coverage options for pregnant women through Medicaid expansion and subsidized marketplace coverage. It also creates some new challenges in coverage of pregnant women because of overlapping eligibility levels and the […]
Early State Experiences with the First Open Enrollment Under the Affordable Care Act
/in Policy Reports Health Coverage and Access /by NASHP and Keerti KanchinadamThe Affordable Care Act (ACA) expands health insurance coverage options to millions of uninsured individuals, and makes significant changes to state eligibility and enrollment processes. Many of these changes were implemented by October 1, 2013, with the beginning of the first open enrollment period for health insurance marketplaces. This brief describes states’ experiences—including challenges and […]

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