Safety Net Providers and Rural Health
FEATURED ARTICLE
State Medicaid Strategies to Promote Early Identification and Treatment of Pregnant Women with Substance Use Disorder
/in Policy Featured News Home, Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, 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, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health /by Carrie Hanlon, Taylor Platt, Eddy Fernandez and Lyndsay SanbornStates face rapidly rising rates of substance use disorder (SUD) and overdoses among pregnant women and increases in maternal deaths and poor birth outcomes, such as neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS).[1] To understand how states promote early identification of SUD and treatment access for pregnant women, the National Academy for […]
Medicaid Incentives, Performance Measures, and Workforce Innovations Foster Access to Pediatric Oral Health Care
/in Medicaid Managed Care Featured News Home, Reports Child Oral Health, CHIP, CHIP, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Oral Health, Population Health, Program Design, Safety Net Providers and Rural Health, Special Populations and Services, Workforce Capacity /by Carrie Hanlon and Malka BerroWhile state policymakers across the country grapple with oral health care access challenges, California, Pennsylvania, and Connecticut are incentivizing their Medicaid plans and providers to deliver pediatric oral health services in innovative ways, with a special focus on community-based solutions. Under its Medicaid section 1115 waiver, California incentivizes dental care coordination by community health workers […]
States Explore Emerging Evidence to Learn New, Innovative Uses of Telehealth
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Safety Net Providers and Rural Health, Workforce Capacity /by Johanna Butler and Christina CousartThe National Academy for State Health Policy (NASHP) recently launched the Telehealth Affinity Group, composed of state policymakers, that is examining emerging evidence from the Patient-Centered Outcomes Research Institute (PCORI) into innovative uses of telehealth to transform health care delivery systems in states. State and federal policymakers are eager to explore emerging patient-centered outcomes research […]
Rural Health Clinics
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health /by NASHP StaffDownload this report. Rural health clinics (RHCs) were established through the Rural Health Clinic Services Act of 1977[i] in order to improve access to non-physician practitioners, such as physician assistants and nurse practitioners, in rural areas that lacked an adequate supply of physicians. Today, there are approximately 4,100 RHCs[ii] in 44 states.[iii] To be eligible […]
Toolkit: State Strategies to Support Older Adults Aging in Place in Rural Areas
/in Policy Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health, Workforce Capacity /by Neva Kaye and Kristina LongThis toolkit highlights state initiatives to help older rural adults age in place by increasing services that help people remain in their homes, expanding and professionalizing the caregiver workforce, improving transportation access and services, and making delivery system reforms within Medicaid programs. Download the toolkit. Introduction Rural areas across the nation have higher concentrations of […]
Q&A: How Medicaid Expansion Put Naloxone in the Hands of the People Who Needed It Most
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Population Health, Safety Net Providers and Rural Health /by NASHP StaffMedicaid expansion, which took effect as the opioid epidemic ballooned, provided insurance coverage to people at highest risk of opioid use disorder (OUD) – lower-income, younger adults. Because Medicaid covers the overdose-reversal drug naloxone, the expansion gave Harvard Medical School professor Richard Frank an opportunity to compare how Medicaid expansion impacted naloxone prescribing in expansion […]
How Washington State Is Reducing Costs and Improving Coverage Value – A Q&A with its Health Benefit Exchange CEO
/in Policy Washington Blogs Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Safety Net Providers and Rural Health, State Insurance Marketplaces /by Christina CousartWashington State made history recently with passage of Chapter 364 – a new law that is poised to revolutionize the state’s individual insurance market. The law takes a multi-pronged approach to its market redesign by: Creating a quasi-public option product for Washington’s individual market; Requiring standard plan design for plans sold on its exchange; and […]
A Snapshot of State Efforts to Reach and Enroll Children for State Medicaid and CHIP Programs
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Safety Net Providers and Rural Health /by Andre FloreaIn 2018, the number of children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) declined 2.2 percent. It is not known if these children moved to other sources of health coverage, like employer-sponsored insurance, or became uninsured until publication of the US Census Bureau’s American Community Survey this fall. However, last year’s decline […]
Vermont Uses an Accountable Care Organization Model to Promote Developmental Screenings during Well-Child Visits
/in Policy Vermont Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Safety Net Providers and Rural Health, State Insurance Marketplaces, Value-Based Purchasing /by Megan Lent and Carrie HanlonWithout early identification and treatment of development delays, children may face long-lasting and costly consequences. With more states reporting their developmental screening Child Core Set measures and new federal initiatives promoting value-based payment for children’s health, Vermont’s innovative affordable care organization’s approach can provide valuable insights. This fact sheet describes Vermont’s strategy to prioritize developmental […]
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. 
Medicare’s New Rural Emergency Hospital Designation — Considerations for States
/in Health Coverage and Access, Policy Blogs, Featured News Home Safety Net Providers and Rural Health /by Rebekah Falkner and Sam Mermin