Health Coverage and Access
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#NASHPCONF20 Highlighted States’ Creativity in Addressing Equity, Bolstering Health Care, and Preserving Safety Nets during COVID-19
/in #NASHPCONF20 Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Consumer Affordability, Cost, Payment, and Delivery Reform, COVID-19, Health Coverage and Access, Health Equity, Health System Costs, Long-Term Care, Making the Case for Action, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by Trish RileyLast week, over 1,000 state health policy leaders and others from every state joined the National Academy for State Health Policy’s (NASHP) first-ever virtual state health policy conference to discuss a path forward during an unrelenting pandemic and profound budget challenges. As one state official noted, “This was a chance to lift my eyes from […]
Iowa’s I-Smile Program Promotes Dental Care for Children, Pregnant Women, and Adults
/in Policy Iowa Featured News Home, Reports Child Oral Health, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Oral Health, Population Health /by Ariella LevisohnThrough a unique partnership between the Iowa Medicaid and public health agencies, Iowa’s I-Smile program addresses the disproportionate impact of dental disease on low-income individuals. I-Smile and its related I-Smile @ School for children and I-Smile Silver for adults help promote preventive oral health services and reduce barriers to dental care across the state.
States Confront Current and Future Insurance Coverage Challenges as Pandemic Persists
/in COVID-19 State Action Center, Policy Blogs, Featured News Home CHIP, COVID-19, Eligibility and Enrollment, Health Coverage and Access, Population Health, State Insurance Marketplaces /by Maureen Hensley-Quinn and Christina CousartState Medicaid, children’s health insurance programs (CHIP) and health insurance marketplaces strive to prepare for an expected increase in the demand for their services as they navigate a world roiled by COVID-19, an economic downturn and ensuing budget crises, and unpredictable federal relief efforts.
States Raise Concerns about Moving Critical COVID-19 Reporting Data from CDC to HHS
/in COVID-19 State Action Center Blogs, Featured News Home COVID-19, Health Coverage and Access, Health Equity, Health IT/Data, Population Health, Quality and Measurement, Social Determinants of Health /by Trish Riley and Jill RosenthalThe recent decision to shift daily data reported by hospital administrators about their capacity and hospital beds occupied by COVID-19 patients from the Centers for Disease Control and Prevention (CDC) to the Department of Health and Human Services’ (HHS) TeleTracking system has sparked concerns among state officials who are on the pandemic’s frontline, and infectious […]
Six States’ Strategies to Providing Home Health Services to Children Enrolled in Medicaid
/in Medicaid Managed Care Connecticut, Delaware, Iowa, Maryland, Ohio, Washington Blogs, Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Community Health Workers, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Long-Term Care, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, Special Populations and Services, Workforce Capacity /by Olivia Randi and Kate HonsbergerTo improve the quality of services for children and youth with special health care needs (CYSHCN) and reduce health care costs, states are implementing strategies to improve access to home health services. Of particular importance as states confront COVID-19-related budget challenges, home health services can help to avoid costly emergency department use, hospitalizations, and institutional […]
State Approaches to Providing Home Health Services to Children with Medical Complexity Enrolled in Medicaid
/in Policy Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Community Health Workers, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, Workforce Capacity /by Kate Honsberger, Ellen Bayer, Anna Matilde “Tilly” Tanga and Karen VanLandeghemThousands Flock to Health Insurance Marketplaces as Coverage Shifts due to COVID-19
/in COVID-19 State Action Center Blogs, Featured News Home CHIP, COVID-19, Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Christina CousartCOVID-19 has affected nearly every aspect of American life, including access to health insurance coverage, which is critical during a pandemic. Job losses and reductions in hours have resulted in millions losing employer coverage or the income needed to pay premiums, forcing them to join the already sizeable ranks of the uninsured. State marketplaces have […]
New Jersey’s Project ECHO Builds Provider Capacity to Support Maternal and Child Health during COVID-19
/in Policy New Jersey Blogs, Featured News Home COVID-19, Health Coverage and Access, Health Equity, Health IT/Data, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health, Workforce Capacity /by Eddy FernandezConfronted with a pandemic that impacts the health of women and children – ranging from pregnancy and delivery to access to substance abuse treatment – a consortium of New Jersey state and health care experts launched a Project ECHO (Extension for Community Healthcare Outcomes) initiative to share COVID-19 expertise between specialists and primary care to […]
With Federal Funding Fragmented, States Develop COVID-19 Testing Programs for the Uninsured
/in COVID-19 State Action Center Blogs, Featured News Home Consumer Affordability, COVID-19, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health /by Anita Cardwell and Trish RileyAs states loosen restrictions on stay-at-home orders, many are struggling to establish clear and consistent COVID-19 testing protocols to support individuals’ safe return to work and school and identify ways to pay for increased testing. Absent federal guidance, there is significant debate about who is responsible for funding testing – insurers argue a test must be medically necessary and employers […]
Proposed IRS Rule Would Incentivize Health Care Sharing Ministries and Direct Primary Care Arrangements
/in Policy Blogs, Featured News Home Consumer Affordability, Essential Health Benefits, Health Coverage and Access, Health System Costs /by Christina CousartLast week, the Internal Revenue Service (IRS) released a proposed rule that would for the first time allow tax deductions for money spent for certain health care programs and arrangements, including direct primary care arrangements and health care sharing ministries.

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