Chronic Disease Prevention and Management
FEATURED ARTICLE
The Nuts and Bolts of Medicaid Reimbursement for Developmental Screening: Insights from Georgia, Minnesota, and North Carolina
/in Policy Georgia, Minnesota, North Carolina Reports CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Najeia Mention and Felicia HeiderThe early years of a child’s life are critical for growth and development. Identifying developmental delays early and providing appropriate referral and treatment can help prevent more severe issues as well as considerable costs. State Medicaid agencies can play an important role in promoting early identification of developmental delays by reimbursing and tracking the use […]
Putting the Evidence to Work for States
/in Policy Oregon, Washington Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement /by Felicia HeiderEvidence reviews are powerful tools that allow health policymakers to direct resources to certain options that outperform others. Evidence-informed approaches can optimize coverage decisions, increase performance on quality improvement measures, and drive effective responses to major challenges. One way states are utilizing these evidence-informed approaches is in addressing the opioid crisis. The Agency Medical Directors’ […]
Pooling and Braiding Funds for Health-Related Social Needs: Lessons from Virginia’s Children’s Services Act
/in Policy Virginia Reports Blending and Braiding Funding, CHIP, CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by NASHP WritersLow-income and at-risk populations often need services and supports outside the scope of a single state agency in order to live productive, healthy lives. State health policymakers seeking to combine funding streams to meet health-related social needs could benefit from learning about Virginia’s long-term experience pooling funds to meet the needs of at-risk youth and families through its […]
Enhancing Care Quality for Medicaid Beneficiaries Living with HIV/AIDS: New NASHP Case Studies
/in Policy New York, Wisconsin Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, HIV/AIDS, Long-Term Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health /by Chiara Corso and Rachel DonlonNASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]
Comprehensive Early Childhood Mental Health Systems to Improve Outcomes and Reduce Costs
/in Policy Illinois, Louisiana, Massachusetts, Minnesota, New York, Oregon Blogs Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by Karen VanLandeghemNearly one in five Americans has some type of diagnosable mental health disorder. With these disorders costing $201 billion in 2013, behavioral health is a critical issue for state health policymakers. Children, including very young children, can experience mental health problems, and addressing these issues early can improve outcomes and lessen costs. Approximately 15 percent […]
In the Zone: State Strategies to Advance Health Equity by Investing in Community Health
/in Policy Charts, Reports Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Population Health, Social Determinants of Health /by NASHP WritersIn the wake of national health care reform, many states are transforming their health care delivery systems to improve the health of populations while controlling costs. Reducing health disparities—and addressing the social and economic conditions driving them—is at the heart of many of these efforts. Embedded within larger statewide system transformations such as enhanced primary […]
State Levers to Advance Accountable Communities for Health
/in Policy California, Minnesota, Vermont, Washington Reports Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Medicaid Expansion, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health /by Lesa Rair, Taylor Kniffin and Felicia HeiderStates are testing a myriad of models that strive to achieve the Triple Aim objectives of improved care, reduced health care costs, and better health. Though several statewide health care delivery and payment system reforms have been shown to help slow the growth of health care expenditures and improve methods for delivering health care, taken […]
Connecticut and Vermont Join the Ranks of New England States Limiting Opioid Prescriptions; Congress Also Takes Steps to Address Epidemic
/in Policy Connecticut, Vermont Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health /by Chiara Corso and Charles TownleyOn May 10, 2016, Connecticut Governor Dannel Malloy signed legislation limiting most first-time opioid prescriptions to seven days (Pub. Act 16-43). The Vermont General Assembly passed a similar bill earlier this month, which will require the state’s Health Commissioner to adopt rules governing opioid prescribing. (Note: The Vermont law was passed during the final week […]
Updated HHS Guidance on Improving Health Care Access for Justice-Involved Individuals
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health /by Anita CardwellLast Thursday, the Department of Health and Human Services (HHS) released new guidance to clarify and update policies related to how states can improve access to Medicaid coverage and services for incarcerated individuals transitioning back into communities. Based on data from a newly published HHS report, currently 2.2 million individuals are incarcerated and an additional […]
Early Highlights of What the Final Managed Care Rule for Medicaid and CHIP Could Mean for Children with Chronic and Complex Health Care Needs
/in Policy Blogs Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health /by Karen VanLandeghem and Tamara KramerLast week the Centers for Medicare and Medicaid Services (CMS) released its long-awaited final rule outlining requirements for managed care organizations in Medicaid and Children’s Health Insurance Programs (CHIP). Preliminary NASHP analyses indicate that the final rule provides states with significant flexibility in making changes designed to modernize these federal programs as part of health […]
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. 
States Use Appendix K and Emergency Waivers to Support Home- and Community-Based Services in Response to COVID-19
/in COVID-19 State Action Center Charts, Featured News Home, Maps Care Coordination, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Equity, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health /by Salom Teshale