Health Coverage and Access
FEATURED ARTICLE
Basic Facts About Children’s Health Coverage
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffPublished in May 2006, this fact sheet provides some basic information about how children are covered today, how many children are uninsured and who they are, and the cost of children’s coverage. Basic Facts About Children’s Coverage 66.9 KB
On the Spot in Illinois: Working toward Reaching and Enrolling All Children and Adolescents
/in Policy Reports Health Coverage and Access /by NASHP StaffPublished in October 2008, this State Health Policy Briefing looks at key aspects of the outreach effort undertaken by Illinois to reach and enroll uninsured children and adolescents in its All Kids program. Although the state employed a breadth of strategies to reach and enroll the state’s uninsured children and youth, administrators believe that a […]
State Strategies and Lessons Learned in Working Toward Coverage for all Children
/in Policy Reports Health Coverage and Access /by NASHP StaffThis report, published in October 2008, examines three states – Louisiana, New Mexico, and Oregon – to learn firsthand from state leaders, program administrators, policy makers, advocates, and community groups about the history, process, strategies, and lessons learned in advancing children’s coverage initiatives. While each state has a unique approach to advancing children’s coverage initiatives, […]
Express Lane Eligibility and Beyond: How Automated Enrollment Can Help Eligible Children Receive Medicaid and CHIP
/in Policy Reports Health Coverage and Access /by NASHP StaffAs states work to insure more children in challenging economic times, a new report funded by the Robert Wood Johnson Foundation (RWJF) explores how states can identify and enroll eligible but uninsured children by borrowing automated strategies that have proven effective in helping eligible people receive other public and private benefits. Authored by Urban Institute […]
Building Medical Homes in State Medicaid and CHIP Programs
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP StaffWith 47 million uninsured Americans, double digit inflation in medical spending and health outcomes that lag far behind other nations, comprehensive health care reform that addresses access, cost and quality issues is a national priority. A primary care oriented system may have benefits for population health, equity in health and cost containment and has been […]
Summary Brief – Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity
/in Policy Health Coverage and Access /by NASHPThis is a summary brief of the paper Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity. The full paper presents options to improve the relationship between states and the federal government in financing Medicaid. It expands on the history of state financing mechanisms and federal responses by positing a new reality in which […]
Understanding Key Features of the Drug Effectiveness Review Project (DERP) and Lessons for State Policy Makers
/in Policy Health Coverage and Access /by NASHPThis brief summarizes the key features of the Drug Effectiveness Review Project (DERP). The DERP is a collaborative partnership between states and other government and non-profit entities that conducts systematic evidence-based reviews of pharmaceuticals. It is the largest effort to apply current best practices and evidence-based analysis to pharmacy management issues. medicaid_DERP.pdf 882.5 KB
State Design and Use of Prior Authorization Processes
/in Policy Health Coverage and Access /by NASHPThis brief summarizes six state’s experiences in implementing and operating prior authorization (PA) processes that support a preferred drug list (PDL). The PA process can be divided into three major components: Submission, Review, and Appeal. This brief examines state policy choices and experience in each of these areas. It also examines two common means these […]
State Experience in Creating Effective P&T Committees
/in Policy Health Coverage and Access /by NASHPThis brief summarizes state experience in creating and managing Pharmaceutical and Therapeutics (P&T) committees. The brief points out that states face critical issues in designing and implementing their efforts that range from the make-up of their P&T committees, to the way in which prior approval requests are submitted. medicaid_pandt.pdf 317.7 KB
State Policy Improvements that Support Effective Identification of Children At Risk for Developmental Delay
/in Policy Health Coverage and Access /by NASHP StaffThe success of the ABCD Initiative provides lessons for states and other entities wishing to improve the quality of health care while controlling costs and improving efficiency. Identifying and implementing key processes to improve state policies affecting screening in primary care are the focus of this brief. ABCD states changed state statutes, state regulations, contracts, […]

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