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High Risk Pools Deja Vu – Lessons from States, Questions for Policymakers
/in Policy Minnesota, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Prescription Drug Pricing, State Insurance Marketplaces /by Anita CardwellCongress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]
State Checklist: Medicaid-Related Provisions Impacted by an ACA Repeal
/in Policy Charts CHIP, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Managed Care, State Insurance Marketplaces /by NASHP StaffThis worksheet, originally created by the Virginia Department of Medical Assistance Services (DMAS), identifies key requirements of the ACA that impact state Medicaid and CHIP programs and poses questions for state officials to consider in preparing for actions that may need to be taken upon repeal. NASHP is pleased to share this tool allowing other […]
An Overview of ACA Provisions and Their Repeal Implications for States
/in Policy Charts Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Population Health, State Insurance Marketplaces /by NASHP StaffMuch has been written about the impact of ACA repeal on consumers and health insurance markets. With this chart NASHP provides an overview of ACA provisions and snapshot of the implications to states if the ACA is repealed. States are the primary regulator of insurance and as such had laws in place prior to the enactment of […]
Implementing the Medicaid Managed Care Rule: A View from One State
/in Policy Virginia Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP WritersBy: Guest Blogger, Cheryl Roberts, Deputy Director of the Virginia Department of Medical Assistance Services and NASHP Academy Member During the 2016 NASHP Annual State Health Policy Conference, I gave my thoughts on 15 things that made me say, “Hmm” about the CMS Managed Care Regulations, aka The Mega Regs. I could note 40 but […]
Reflections on Repeal and Replace
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by Lesa RairAmidst discussion of repealing, delaying, and replacing the ACA, what’s ahead for health reform is uncertain, but may be informed by reflection on what’s gone before. In January 2000, the National Academy for State Health Policy (NASHP) convened a bipartisan group of state health policy leaders to discuss lessons learned from 25 years of state […]
Access for the Uninsured: Lessons from 25 Years of State Initiatives (The Flood Tide Forum, Rereleased from January 2000)
/in Policy Reports Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairIn light of the current and anticipated debates surrounding health policy and access NASHP is rereleasing this report originally published in January 2000. See Trish Riley’s Latest Blog Read the Full Publication.
State Leaders Convened for National Issues Teleconference
/in Policy Blogs CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Value-Based Purchasing /by Lesa RairFollowing on the heels of our Leader’s Summit, held in October, last night NASHP convened our Academy members in a national issues forum teleconference to update each other and discuss emerging concerns and opportunities. From that discussion, several themes emerged: The uncertainty of policy direction confounds states and markets and leads to instability As policy […]
NASHP Leaders’ Summit: State Health Policy and the Next Administration
/in Policy Reports CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, State Insurance Marketplaces /by NASHP StaffRead the full brief here. Summary As President Trump and the new Congress take office in 2017, fundamental changes to alter the health care system will be debated. States have been actively engaged in health reform, embracing changes to insurance markets, new investments and innovation in delivery system and payment reform, as well as public […]
Federal and State Collaboration for Medicare-Medicaid Alignment
/in Policy California, Colorado, Illinois, Maryland, Massachusetts, Michigan, New York, Ohio, Rhode Island, South Carolina, Texas, Virginia, Washington Reports Care Coordination, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement, State Insurance Marketplaces /by Jenn JensonNASHP recently brought together a group of state and federal policy leaders to discuss the Medicare-Medicaid Financial Alignment Initiative, D-SNP health plans, and other programs and resources aimed at aligning health care payment and delivery to improve care for dual eligibles. See a report from the meeting and sign up for a webinar on state […]
Incentivizing Healthy Behaviors and Personal Responsibility
/in Policy Connecticut, Idaho, Indiana Annual Conference, Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, State Insurance Marketplaces /by Lesa RairTo help better prevent and control costly conditions such as chronic diseases, and to break the cycle of poor health, states are experimenting with mechanisms to incentivize healthy behaviors and personal responsibility for wellness. This past October, as part of the 29th Annual State Health Policy Conference in Pittsburgh, PA, leaders from Connecticut, Idaho, 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