Blogs / Reports
FEATURED ARTICLE
The North Carolina Healthcare Quality Alliance: Lessons in Aligning Quality Improvement Strategies Statewide
/in Policy Reports Cost, Payment, and Delivery Reform /by Larry HinkleNorth Carolina’s model for primary care redesign, improvement, and infrastructure support has a proven track record of success. A crucial part of this model is coordination of initiatives through the North Carolina Healthcare Quality Alliance (NCHQA), a non-profit organization comprised of private and public partners across North Carolina’s health system. This brief describes NCHQA’s origin […]
Building a statewide support system to transform primary care
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHP StaffBy Jill Rosenthal June 2012 North Carolina’s success in developing a statewide infrastructure that supports a robust primary care system has resulted in better health outcomes, lower cost, and a new way of organizing and improving health in the state. This success is due largely to its ability to synchronize and align initiatives within the […]
Is Cooperative Federalism Possible in Health Care?
/in Policy Blogs /by NASHPAlan Weil, NASHP Executive Director, recently spoke at the 19th Annual Princeton Conference hosted by the Brandeis University, Council on Health Care Economics and Policy. The conference focused on how states are addressing health reform while facing huge economic challenges. Click here to listen. (MP3, 34:43)
The State of the States in Delivering Health Care for Children in Foster Care: Findings of a State Survey
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPA 1999 survey of states by the National Academy for State Health Policy sought to examine the specific policies and procedures states have adopted to minimize these barriers and to ensure that the health care needs of children in foster care are met. The survey questionnaire was mailed to both Medicaid and Chief Welfare officials […]
Innovations in Payment Strategies to Improve Plan Performance
/in Policy Reports /by NASHP and Neva KayeThe National Academy of State Health Policy (NASHP) conducted a survey in the summer of 1999 of the 31 states known to be using financial penalties or incentives in their Medicaid managed care contracts. This paper is based upon information provided by the 28 states that responded and examines recent trends in the use of […]
Medicaid Eligibility Policy for Children in Foster Care
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPAccording to a 1995 report by the General Accounting Office, the 300,000 children living in foster care are among the most vulnerable children in the U.S. As a group, they are sicker than homeless children and children living in the poorest sections of inner cities. This high level of health care need makes health care […]
State Experience with External Appeals in Managed Care: Implications for Federal Action
/in Policy Reports /by NASHPOn May 24, 1999, a group of state and federal officials met in Washington, DC, to discuss state experiences with external appeal mechanisms. The meeting was sponsored by the National Academy for State Health Policy (NASHP) and made possible through financial support from The David and Lucile Packard Foundation. The meeting allowed exchange of information […]
Quality Oversight in Managed Care: The Role of Interagency Coordination
/in Policy Reports /by NASHPThe National Academy for State Health Policy (NASHP) undertook the Quality Assurance in Practice Project to learn about state efforts to meet the new challenges of health care regulation and purchasing. Specifically, the project aimed to gather information about state efforts to coordinate quality of care oversight for managed care across multiple agencies. Our goal […]
Keeping a Focus on Children in Health Care Reform
/in Policy Reports Maternal, Child, and Adolescent Health /by NASHPFor a complete slide presentation, click here. This is the second of a two-part webinar series on children’s coverage. The Affordable Care Act (ACA) provides numerous tools for states to improve health coverage, including for children. However, the focus in implementation is primarily on the adults who will become newly eligible for affordable coverage […]
Medicaid Managed Care Enrollment and Disenrollment: The Experience of Four States
/in Policy Reports Health Coverage and Access /by NASHPThis report is the final phase of the National Academy for State Health Policy’s contribution to a larger study of Medicaid managed care enrollment and disenrollment, funded by The Pew Charitable Trusts and conducted by Cornell University and Virginia Commonwealth University. It focuses on the enrollment and disenrollment policies and experience of Medicaid managed care […]

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