Blogs / Reports
FEATURED ARTICLE
Happy Anniversary Medicaid – Remarks from Trish Riley
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care /by Lesa Rair and Lesa RairLast month, as part of an Academy Health Annual Research Meeting panel on the 50th anniversary of Medicaid, NASHP Executive Director Trish Riley gave remarks on the history of the program, as well as addressed where it is heading and the long-term relationship between Medicaid and the states. Read the entire speech here.
State Enrollment Experience: Implementing Health Coverage Eligibility and Enrollment Systems Under the ACA
/in Policy Reports Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP, Alice Weiss and Kaitlin SheedyThe Patient Protection and Affordable Care Act (ACA) included new eligibility and enrollment requirements, which have presented states with significant implementation opportunities and challenges. Although states had choices about whether to host a health insurance exchange or expand Medicaid, the ACA required all states to make major changes to Medicaid eligibility policy, including adding mandatory […]
Adult Dental Benefits in Medicaid: Recent Experiences from Seven States
/in Policy Reports Essential Health Benefits, Health Coverage and Access, Oral Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHP and Keerti KanchinadamOral health is an important part of overall health, however, access to dental coverage for low-income adults remains a challenge, particularly since these benefits are optional for state Medicaid programs. This brief summarizes policy lessons from seven states (California, Colorado, Illinois, Iowa, Massachusetts, Virginia, and Washington) that have recently added, reinstated, or enhanced their Medicaid […]
What Governors Are Saying About King v. Burwell
/in Policy Blogs, Charts Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHPLast week’s ruling in King v. Burwell affirmed the provision of tax-subsidies through the federally-facilitated marketplace (FFM), a decision which may have affected over 6.4 million Americans currently receiving subsidies in the 34 states that have opted for the FFM model. The ruling has asserted the place of the Affordable Care Act (ACA), with state […]
Vermont Gets its Day in Court on ERISA: Supreme Court Agrees to Hear Gobeille v. Liberty Mutual Next Term
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, Value-Based Purchasing /by NASHP and Alice WeissThe Supreme Court granted certiorari in Gobeille v. Liberty Mutual, a case brought by Vermont challenging the Second Circuit Court of Appeals’ ruling on ERISA preemption that bars the state from requiring self-insured employer-sponsored health plans to submit claims data to Vermont’s all-payer claims database (APCD). In doing so, the Supreme Court is providing Vermont […]
Certified Community Behavioral Health Clinics: What’s in It for States?
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Physical and Behavioral Health Integration /by NASHPWhen it comes to behavioral health systems, many states struggle with the lack of “system.” Services provided are often a compilation of available Medicaid state plan options, with little in the way of unifying structures to ensure coordination of care or linkages to other systems. The Substance Abuse and Mental Health Services Administration (SAMHSA) recently […]
Supreme Court Protects Coverage, Avoids Crisis for State Insurance Markets
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPThe following is a statement from NASHP Executive Director Trish Riley regarding the Supreme Court decision on King v. Burwell. “With their decision today, the Supreme Court has protected coverage for 6.4 million Americans and avoided a crisis for states and their insurance markets, had the insurance subsidies been eliminated. The Court recognized the ACA […]
New Mexico’s State-Based Marketplace: An Emerging Model
/in Policy New Mexico Reports Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHP and Tess ShirasThe Supreme Court’s ruling in King v. Burwell could have a significant impact on states. If the Supreme Court finds for the petitioners in King v. Burwell, states with Federally-Facilitated Marketplaces (FFMs), and possibly State Partnership Marketplaces (SPMs), may have to adopt a new model that qualifies as a State-Based Marketplace (SBM) to maintain access to the […]
Maine Takes Steps Towards Becoming First State to Legislate Back-up Plan for King v. Burwell
/in Policy Maine Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPAs we get closer to a decision on King v. Burwell, attention is turning to the 34 states without a state-based exchange. To date Maine has come closest to enacting a law, in the event of a decision for the plaintiff, with LD 1344, “An Act to Protect Maine Consumers in the Individual Health Insurance […]
Are We There Yet? An Update on Gobeille v. Liberty Mutual
/in Policy Vermont Blogs Health Coverage and Access, Health IT/Data /by NASHP and Alice WeissSummer is the season of the great American road trip, and as such the clarion call from back seats everywhere– Are we there yet? – will soon ring out across the nation. But, this summer for those in Vermont the call has a different meaning. In a May NASHP Health Policy Blog post, as the […]

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