FEATURED ARTICLE
States Invited to Join a Community of Practice to Improve Immunization Rates
/in Policy Blogs, Featured News Home CHIP, CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Immunization, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by NASHP StaffResults of a Five-State Community of Practice to Improve Medicaid Immunization Rates through Partnerships
/in Policy Blogs, Featured News Home CHIP, CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Immunization, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Rebecca Cooper, Jill Rosenthal and Ariella LevisohnFaced with persistent disparities in vaccination rates among children and pregnant women, a five-state community of practice, coordinated by the National Academy for State Health Policy (NASHP), AcademyHealth and Immunize Colorado, formed interdisciplinary, cross-agency teams to address access and other challenges to reduce immunization gaps among low-income pregnant women and children. Their approaches and lessons […]
States Include Catch-up Routine Immunization Strategies in Back-to-School Planning
/in Policy Hawaii, Michigan, Oregon, Texas Blogs, Featured News Home Chronic Disease Prevention and Management, COVID-19, Immunization, Maternal, Child, and Adolescent Health, Population Health /by Rebecca CooperAs states consider strategies to reopen schools safely this fall, ensuring that children receive their appropriate, on-schedule vaccines continues to be an important safety and prevention strategy. Because the COVID-19 pandemic has dramatically reduced the volume of in-person children’s preventive care visits across the country – many providers have reported a 70 to 80 percent […]
States Factor in COVID-19’s Impact on Immunizations and VBP Incentives
/in COVID-19 State Action Center Blogs, Featured News Home Chronic Disease Prevention and Management, COVID-19, Immunization, Maternal, Child, and Adolescent Health, Population Health /by Rebecca CooperBecause of the great public health value of childhood vaccines, state Medicaid programs have promoted value-based purchasing (VBP) programs as a lever through managed care and fee-for-service programs to reward providers that immunize a high rate of children, who make up about 55 percent of Medicaid’s managed care enrollees nationwide. However, COVID-19 has greatly reduced […]
States Establish New Telehealth Policies to Safeguard Well-Child Care and Immunizations
/in COVID-19 State Action Center Blogs, Featured News Home Chronic Disease Prevention and Management, COVID-19, EPSDT, Health Coverage and Access, Health IT/Data, Healthy Child Development, Immunization, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Population Health, Workforce Capacity /by Rebecca CooperThe COVID-19 pandemic has reduced access to children’s preventive care across the country, with some providers reporting a 70 to 80 percent decrease in well-child visits, and far fewer children receiving vital in-person services, such as immunizations. Some primary care practices also have limited their services or shut down to comply with mandatory social distancing […]
State Levers to Improve Immunization Rates: Alabama’s Experience
/in Policy Alabama Blogs, Featured News Home Chronic Disease Prevention and Management, EPSDT, Health Coverage and Access, Health IT/Data, Immunization, Maternal, Child, and Adolescent Health, Population Health /by Rebecca Cooper and Ariella LevisohnUsing Data, Incentives, and Innovation, Three States Work to Improve Maternal Vaccination Rates
/in Policy California, Colorado, Wisconsin Blogs, Featured News Home Chronic Disease Prevention and Management, Health Coverage and Access, Health IT/Data, Immunization, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Social Determinants of Health /by Ariella LevisohnDespite the health benefits of immunizing pregnant women against influenza and pertussis (whooping cough) and protecting them and their infants from these life-threatening diseases, only half of pregnant women are vaccinated against both diseases and only one-third receive both the influenza and pertussis vaccines during pregnancy. Three states are trying a number of innovative approaches […]
State Medicaid Levers to Promote Immunization: California’s Experience
/in Policy California Reports CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Eligibility and Enrollment, EPSDT, Essential Health Benefits, Health Coverage and Access, Health Equity, Health IT/Data, Health System Costs, Healthy Child Development, Immunization, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Rebecca CooperVaccines are a powerful and cost-effective tool to prevent diseases and save lives. Once common, deadly diseases such as polio, measles, and mumps are preventable and smallpox no longer exists outside of a laboratory. According to research estimates, of 4.3 million infants born in the United States in 2009, vaccines will prevent 40,000 deaths and […]
How Hawaii Fights the Flu: Pop-up Vaccination Clinics and State Agency Collaboration
/in Policy Hawaii Blogs Chronic Disease Prevention and Management, Immunization, Maternal, Child, and Adolescent Health, Population Health /by Megan Lent and Jill RosenthalStates are using creative and collaborative methods to increase flu immunization rates after 185 children died from influenza during the 2017-2018 season — the highest toll reported since the 2009 flu pandemic. The health and economic toll of last season’s flu outbreak in children nationwide included more than 48,000 hospitalizations and 6.5 million medical visits. […]
State Officials Work to Harness Medicaid as a Change Agent to Increase Immunization Rates
/in Policy Blogs CHIP, CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Healthy Child Development, Immunization, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Social Determinants of Health /by Megan Lent, Tina Kartika and Jill RosenthalDespite vaccines’ effectiveness in preventing infectious diseases and strong public funding for childhood immunizations, vaccination rates among children living in poverty remain stubbornly lower than for children living above poverty and who are privately insured. Recently, officials from several organizations, including the National Academy for State Health Policy (NASHP), AcademyHealth, and the Colorado Children’s Immunization […]

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. 
























































































































































State Immunization Services and Policies Resource Page
/in Policy Toolkits Chronic Disease Prevention and Management, Healthy Child Development, Immunization, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health Immunization /by Rebecca Cooper