Population Health
FEATURED ARTICLE
Bang for Your Prevention Bucks: Massachusetts’ Model to Maximize Health Care Savings
/in Policy Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by Ledia Tabor and Taylor KniffinThe Massachusetts Prevention and Wellness Trust Fund (PWTF) is a unique state model that supports community-based partnerships, including municipalities, healthcare systems, businesses, regional planning organizations, and schools, to work together to provide research-based interventions that will improve health outcomes and reduce costs. In 2012, the PWTF was established through the state’s health care cost-containment legislation, […]
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by NASHP*Chart updated March 6, 2015 The Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is […]
Integrating Community Health Worker Models into Evolving State Health Care Systems
/in Policy Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Population Health /by NASHPMonday, February 23, 2015 Moderator: CDR Thomas Pryor United States Public Health Service, Center for Medicare & Medicaid Innovation Project Officer Presenters: Gail Hirsch Director, Office of Community Health Workers, Massachusetts Department of Public Health Kari Armijo Health Care Reform Manager, Medical Assistance Division, New Mexico Human Services Department Allie Gayheart Manager of Health Initiatives, […]
State Community Health Worker Models
/in Policy Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Population Health /by NASHP and Sara Kahn Troster*Chart updated June 5, 2015 As states transform their health systems many are turning to Community Health Workers (CHWs) to tackle some of the most challenging aspects of health improvement, such as facilitating care coordination, enhancing access to community-based services, and addressing social determinants of health. While state definitions vary, CHWs are typically frontline workers […]
The State of State Health Policy: Governors’ 2015 State of the State Addresses
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Healthy Child Development, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHPGovernors across the nation have laid out their priorities for the coming year as part of their State of the State addresses. NASHP summarizes the 44 addresses given to date. Seven governors discussed health insurance exchanges, 13 health care costs, and nine addressed issues related to a culture of health. Individual governors also addressed issues […]
Don’t Treat Me Like a Kid! Challenges in Covering and Caring for Adolescents
/in Policy Annual Conference CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health /by StaffSpeakers: Lee Partridge Rebecca Mendoza Tony Rodgers Although policy makers often think of adolescents as children in regard to coverage under public programs, adolescents have distinct service utilization, developmental, and health care needs that differ from those of younger children. This session will look at innovative state approaches to integrating behavioral, social, and personal health […]
Integrating Community Health Worker Models into Evolving State Health Care Systems
/in Policy Massachusetts, New Mexico, South Carolina Webinars Chronic Disease Prevention and Management, Community Health Workers, Population Health /by NASHP StaffMonday, February 23, 2015: As states transform their health systems, many are turning to CHWs to tackle some of the most challenging aspects of health improvement, such as facilitating care coordination, enhancing access to community-based services, and addressing social determinants of health. As interest in CHWs continues to rise, so do challenges related to defining roles and scope of practice, training and certification, financing, and integrating CHWs into evolving health care systems. This webinar describes the federal government’s investment in CHWs to set the context and features speakers from state agencies in Massachusetts, New Mexico, and South Carolina who shed light on how each state is addressing these important issues.
Transforming the Workforce to Provide Better Chronic Care: The Role of a Community Health Nurse in a High-Utilizer Program in Oregon
/in Policy Oregon Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Workforce Capacity /by Mary TakachPart 5 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Yamhill Community Care Organization (YCCO), one of 16 coordinated care organizations in Oregon, utilizes a community health nurse to manage its Community HUB program, which helps “super-utilizer” patients more […]
A Day in the Life of Community Health Nurse Emily Williamson
/in Policy Oregon Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity /by NASHP StaffDeveloping a coordinated care organization in northwest Oregon’s Yamhill County presented an opportunity to build an organization that reflected the community’s vision for high-quality, more efficient, integrated care for Medicaid beneficiaries. When assessing the needs of the community, it became clear to Yamhill Community Care Organization’s (YCCO’s) Clinical Advisory Panel (CAP) that a small percentage […]
Integrating Community Health Worker Models into Evolving State Health Care Systems
/in Policy Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHPMonday, February 23, 2015 Moderator: CDR Thomas PryorUnited States Public Health Service, Center for Medicare & Medicaid Innovation Project Officer Presenters: Gail Hirsch Director, Office of Community Health Workers, Massachusetts Department of Public Health Kari ArmijoHealth Care Reform Manager, Medical Assistance Division, New Mexico Human Services Department Allie Gayheart Manager of Health Initiatives, South Carolina […]

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’ COVID-19 Public Health Emergency Declarations and Mask Requirements
/in COVID-19 State Action Center Charts, Featured News Home, Maps COVID-19, Featured Policy Home, Health Equity, Population Health, Social Determinants of Health /by NASHP Staff and Ella Roth