Blogs / Reports
FEATURED ARTICLE
Federal and State Policy to Promote the Integration of Primary Care and Community Resources
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Mike StanekAround the country, models are emerging to link primary care providers not only to other medical service providers but also to resources and services in the community. This report—the first in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy–highlights relevant policy levers and federal and state […]
Blazing the Trail into the Digital Age
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHPBy Barbara Wirth August 2013 Information drives change, and, in today’s digital age, the transformation of the health care system is increasingly linked to the use of health information technology (HIT). The days of hand-written notes, manual chart reviews and paper bills sent to payers by a health care provider practice are all but […]
Harnessing Technology to Streamline Enrollment: Experiences from Eight Maximizing Enrollment Grantee States
/in Policy Reports /by NASHPSince 2009, eight states participating in the Robert Wood Johnson Foundation’s Maximizing Enrollment program have worked to streamline eligibility and enrollment systems for children and those eligible for coverage in 2014. These states’ use of technology to support application and renewal simplifications, customer interfaces, system functioning, and workflow management have paved the way for many […]
Issue Brief: State Strategies to Avoid Antitrust Concerns in Multipayer Medical Home Initiatives
/in Policy Reports /by NASHP and Barbara WirthAs more states convene multiple payers in their medical home initiatives and work to align payment policies, concerns regarding antitrust liability for states, private health care payers and other participants will need to be addressed. With support from The Commonwealth Fund, NASHP program manager Barbara Wirth and program director Mary Takach surveyed 14 states with […]
The Enduring Influence of the Assuring Better Child Health and Development (ABCD) Initiative
/in Policy Reports Health Coverage and Access /by NASHP and Larry HinkleIn May of 1999, NASHP and The Commonwealth Fund launched the ABCD project. As states continue to address issues related to early childhood development, this report offers lessons, strategies, and policies learned over the past 12 years through this initiative. This report provides an overview of the focus and priorities of the ABCD initiative, a […]
Partnering for Kid’s Coverage – It’s Never too Late
/in Policy Blogs Health Coverage and Access /by NASHPBy Carla Plaza July 2013 Over the last couple of years, we’ve heard and learned much about states’ efforts to implement the Affordable Care Act (ACA). However, we have heard less about the continuing efforts and successes of states in covering more children. NASHP’s Children in the Vanguard project, supported by The Atlantic Philanthropies, brought […]
State Sharing of Insurance Exchanges: Options, Priorities, and Next Steps from the West Virginia Regional Exchange Study
/in Policy Reports Health Coverage and Access /by NASHP, Anne Gauthier and Abigail AronsSharing certain insurance exchange functions across states holds promise for cost savings and other benefits to consumers, states and additional stakeholders. This NASHP report highlights findings and next steps from a study supported by the West Virginia Offices of the Insurance Commissioner, which included interviews and an in-person meeting with officials from several states and […]
Measuring and Improving Care Coordination: Lessons from ABCD III
/in Policy Arkansas, Illinois, Minnesota, Oklahoma, Oregon Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPAs states and providers move away from siloed health care systems and toward integrated systems of care, care coordination has become a key area of focus. Through the Assuring Better Child Health and Development (ABCD) III initiative, Arkansas, Illinois, Minnesota, Oklahoma and Oregon piloted and evaluated strategies to improve care coordination among primary care providers […]
A Vision for Quality Data Infrastructure to Support Health System Transformation
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Abigail AronsState, federal, and private agencies are investing significant resources in patient-centered, value-based health care transformation-including billions to states through CMS’s State Innovations Models initiative (SIM). This brief describes key elements of a quality data infrastructure necessary to support this transformation by providing payers, providers, and stakeholders access to reliable and comprehensive data for robust measurement, […]
Care Management for Medicaid Enrollees Through Community Health Teams
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachThe effective management of patients’ complex illnesses across providers, settings, and systems places extraordinary demands on primary care providers, especially those that work in resource-limited small or rural practices. Medicaid programs in some states have adopted strategies to build practice capacity to care for high-need Medicaid beneficiaries through the development of local community health teams, […]

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