Blogs / Reports
FEATURED ARTICLE
Programs Supporting the Use of Comparative Effectiveness Research and Patient-Centered Outcome Research by State Policymakers
/in Policy Reports /by NASHP and Barbara WirthVarious resources and programs are available to help state health policymakers use evidence-based findings to better inform their decision-making. Due to recent investments from the federal government, two forms of research, Comparative Effectiveness Research (CER) and Patient-Centered Outcomes Research (PCOR), are being used more often to shape state health care policies across the country. CER provides evidence on the comparative risks and benefits of different interventions and PCOR provides research on outcomes […]
Shared Resources to Sustain Primary Care Transformation
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Mike StanekPrimary care practices transitioning to enhanced models of primary care require ongoing support to sustain their transformation efforts. Small and medium-sized practices in particular can benefit from shared resources facilitating care coordination and case management, use of data and technology, and ongoing practice improvement. This State Health Policy Briefing outlines key elements of a shared […]
Matching Patients with Their Providers: Lessons on Attribution and Enrollment from Four Multi-Payer Patient-Centered Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Barbara WirthWithin multi-payer medical home initiatives, it is critical to develop and implement attribution and/or enrollment methodologies that assign participating patients to the practice most responsible for managing their care for two important reasons: the numbers of patients assigned to each practice influences the amount of supplemental PCMH payments paid to practices and which patients are […]
Using Consumer Experience Surveys for Quality Improvement in Maine Health Centers
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHPMaine was one of six states selected to participate in NASHP’s Medicaid-Safety Net Learning Collaborative. NASHP helped organize a series of web trainings for Maine’s health centers on using the Consumer Assessment for Healthcare Providers and Systems (CAHPS) patient satisfaction survey for quality improvement and staff training. CAHPS is being used in the state’s expansion […]
Benefits and Cost Sharing in Separate CHIP Programs
/in Policy Reports Maternal, Child, and Adolescent Health /by Anita Cardwell, Joanne Jee and Catherine HessThe Children’s Health Insurance Program (CHIP) and how it fits into the new coverage landscape established by the Affordable Care Act (ACA) are receiving increased attention. This report, developed jointly with the Georgetown University Center for Children and Families and with support from the David and Lucile Packard Foundation, examines benefits and cost-sharing in 42 […]
Improving Integration of Dental Health Benefits in Health Insurance Marketplaces
/in Policy Reports Health Coverage and Access /by NASHP, Keerti Kanchinadam and Catherine HessThe Affordable Care Act includes pediatric dental services as one of ten essential health benefits that state and federal health insurance marketplaces must offer. However, dental is treated differently from other essential health benefits, creating unique implementation challenges. With support from the DentaQuest Foundation, NASHP held an expert meeting with state and federal marketplace officials, […]
Creating the Perfect Storm for Community-Based Prevention
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health /by NASHPby Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions April 2014 The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of […]
Financing Prevention: How States are Balancing Delivery System & Public Health Roles
/in Policy Reports Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Carla Plaza, Abigail Arons, Jill Rosenthal and Felicia HeiderThis report, developed by the National Academy for State Health Policy and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement […]
Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
/in Policy Reports Chronic and Complex Populations /by Mike Stanek, NASHP and Tess ShirasStates seeking to promote better coordination of patient care, either within Medicaid or through participation in multi-payer initiatives, will run into long-standing challenges to delivering care and promoting health in rural areas. Rural areas often experience disparities in access to care, health status, and available infrastructure relative to their urban counterparts. This brief draws from […]
Facilitating Access to Health Coverage for Juvenile Justice-Involved Youth
/in Policy Reports Health Coverage and Access /by NASHP, Kimm Mooney, Sarabeth Zemel and Diane JusticeAs states and juvenile justice stakeholders work to facilitate health coverage and access for system-involved youth, they can draw upon the experiences of their counterparts across the country to improve eligibility, enrollment, and outreach processes. Medicaid eligibility strategies in several states have already facilitated seamless coverage for juvenile justice-involved youth, and consumer assistance programs created […]

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