Health Coverage and Access
FEATURED ARTICLE
State Eligibility Rules and Assessment Instruments: Implications for People with Alzheimer’s Disease
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHPThe rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]
Challenges for Decisionmakers: How Managed Competition Could Affect Children with Special Health Care Needs
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPThis briefing report is written to alert public and private sector decision makers to the potential advantages and disadvantages of a health care reform strategy based on managed competition from the perspective of an important and vulnerable population — children with special health care needs. Nearly a third of all children in the U.S. currently […]
Collaborative Strategies to Improve State & Local Public Health Systems: Is the Cold War Really Over?
/in Policy Reports Health Coverage and Access /by NASHPThe roles of financing and grant programs are intimately related. While grant programs like MCH and Community and Migrant Health Centers have always subsidized care, the extent of their responsibility is determined by the scope of the entitlement program. If Medicaid eligibility is low, grant funds must be used to subsidize more people. If, on […]
Building an Exchange from the Ground Up: A Conversation with State Health Exchange Directors
/in Policy Webinars Health Coverage and Access /by NASHPGet to know three exchange directors from three very different states, and hear about their exchange-related accomplishments, challenges, and policy priorities. Find out how exchanges are taking shape in the states, straight from the source. Speakers Susan Dentzer, editor-in-chief of Health Affairs, will moderate this discussion with three exchange directors: Richard Fiore of Alabama Patty […]
Public Insurance Programs and Children with Special Health Care Needs, A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP, Meg Comeau, Sara Bachman, Carol Tobias, Mary Henderson, Catherine Hess and Jennifer DolatshahiThis tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as […]
Oklahoma’s Web Portal: Fostering Care Coordination Between Primary Care and Community Service Providers
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by Larry HinkleThis is the second in the series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This new brief focuses on the web-based referral and tracking system (“web portal”) that Oklahoma has built into its pre-existing Preventive Services Reminder System. The state designed this web portal to improve care coordination for children with […]
CHIP Dental Coverage: An Examination of State Oral Health Benefit Changes as a Result of CHIPRA
/in Policy Reports Health Coverage and Access /by Leigha Basini and Jennifer DolatshahiOral health remains a serious concern for the health and well being of children, especially those who are low-income. However, with the passage of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), all children enrolled in the Children’s Health Insurance Program (CHIP) will have a base level of dental coverage included in their […]
Taking it to the Max: Eight States Improving Enrollment and Retention in Medicaid and CHIP
/in Policy Blogs Health Coverage and Access /by NASHPSarabeth Zemel December 2011 This blog post was originally published on State Refor(u)m’s State of Implementation Blog. Earlier this month, eight states gathered in Washington, DC for an annual meeting of grantees of the Maximizing Enrollment program, a Robert Wood Johnson Foundation initiative directed by NASHP that aims to help states improve enrollment and retention […]
Using Data to Drive State Improvement in Enrollment and Retention Performance
/in Policy Webinars Health Coverage and Access /by NASHPThe Maximizing Enrollment program has worked intensively with eight states to help them increase their use of Medicaid and CHIP enrollment and retention data to monitor and improve their performance outcomes. This issue brief presents recommendations from Maximizing Enrollment and Mathematica Policy Research for twelve core measures that states may want to consider implementing as […]

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