Blogs / Reports
FEATURED ARTICLE
Supporting Iowa Rural Provider Capacity Through Community Care Coordination Teams
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachShared community-based teams are a growing trend among states seeking to build provider capacity, especially for small and rural practices. This brief explores Iowa’s path to piloting shared community-based teams, from conception and planning to launch, and offers a framework for policy action for states and other organizations considering leading similar efforts. Iowa was one […]
Quality Measurement to Support Value-Based Purchasing: Aligning Federal and State Efforts
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP and Mike StanekPublic payers are moving to implement payment strategies that reward value in the health care system by linking payment to quality. This report—the third in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights quality measurement strategies underpinning value-based purchasing initiatives at the federal and state […]
Identification and Assessment of Children and Youth with Special Health Care Needs in Medicaid Managed Care: Approaches from Three States
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP, Julien Nagarajan and Joanne JeeIncreasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]
Shared Responsibility in Consumer Assistance: Examples from Federally Facilitated and Partnership Marketplace States
/in Policy Reports /by NASHP, Jackie LeGrand, Julien Nagarajan, Rachel Dolan and Katharine WitgertThis brief explores ways that states are sharing the responsibility of consumer assistance with the federal marketplace in three key areas: marketing and advertising initiatives, the work of navigators and other in-person assisters, and the development of a system for eligibility decision appeals. It also provides specific examples of states utilizing the Federally Facilitated Marketplace […]
Paving the Way to Simpler: Experience from Maximizing Enrollment States in Streamlining Eligibility and Enrollment
/in Policy Reports /by NASHP StaffSince 2009, eight states participating in the Robert Wood Johnson Foundation’s Maximizing Enrollment program have worked to streamline eligibility and enrollment systems, policies, and procedures. States have improved customer experience and reduce unnecessary burden on eligibility staff by implementing simplification strategies at every step of the enrollment and renewal process. This Maximizing Enrollment report—the third […]
Medicaid Managed Care for Children and Youth with Special Health Care Needs
/in Policy Blogs Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPby Joanne Jee February 2014 Where some may see opportunities for improved delivery and coordination of care and cost savings, others may wonder about possible disincentives for providing the full array of needed services. For more vulnerable populations, such as children and youth with special health care needs (CYSHCN), the concerns can be heightened.
Coverage for Pregnant Women Under the ACA
/in Policy Blogs Health Coverage and Access /by NASHPBy Jennifer Dolatshahi January 2014 This blog post was originally published on State Refor(u)m’s State of Implementation Blog The Affordable Care Act (ACA) creates new coverage options for pregnant women through Medicaid expansion and subsidized marketplace coverage. It also creates some new challenges in coverage of pregnant women because of overlapping eligibility levels and the […]
Early State Experiences with the First Open Enrollment Under the Affordable Care Act
/in Policy Reports Health Coverage and Access /by NASHP and Keerti KanchinadamThe Affordable Care Act (ACA) expands health insurance coverage options to millions of uninsured individuals, and makes significant changes to state eligibility and enrollment processes. Many of these changes were implemented by October 1, 2013, with the beginning of the first open enrollment period for health insurance marketplaces. This brief describes states’ experiences—including challenges and […]
Medicaid Agency Training for Consumer Assisters in Federally Facilitated Marketplace States
/in Policy Reports /by NASHP and Kaitlin SheedyVarious types of assisters are at work across the country to support consumers with enrollment in health coverage. Consumers will be screened for eligibility for both Medicaid and the marketplace and will be referred to the appropriate program for enrollment, regardless of where they first seek coverage. State Medicaid agencies can play an important role […]
Ringing in a New Year for Children’s Coverage
/in Policy Blogs Health Coverage and Access /by NASHPBy Carla Plaza January 2014 The start of a new year is a time for reflection and making resolutions. A new year also brings renewed hope, and in 2014, many individuals and families will have access to health insurance coverage, perhaps for the first time. Given all the attention to enrollment and coverage due to […]

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