Blogs / Reports
FEATURED ARTICLE
How Are States Implementing Children’s Health Insurance Plans?
/in Policy Reports /by NASHPAn analysis and summary of state plans submitted to the Health Care Financing Administration As of September 29, 1998, forty-seven states had submitted Title XXI Children Health Insurance Program plans to the Health Care Financing Administration (HCFA). Thirthy-nine states have received approval from HCFA and four states have not submitted plans. These findings reflect the […]
A Snapshot of Seven State Medicaid Managed Care Enrollment and Disenrollment Systems
/in Policy Reports /by NASHP and Neva KayeAs states enroll more and more of their Medicaid population into managed care programs, they are confronted with numerous challenges, among them, how to construct enrollment and disenrollment systems that serve the needs of Medicaid beneficiaries and allow states to better manage their programs. As part of a larger project undertaken by Cornell University and […]
State Assisted Living Policy: 1998
/in Policy Reports Chronic and Complex Populations /by NASHPThis study reviewed the assisted living and board-and-care policies in each of the 50 states. States reported a total of 28,131 licensed facilities with 612,063 units or beds. Over 25% of the beds are lcoated in three states: California (123,238), Florida (66,298), and Pennsylvania (62,241). Twenty-two states have existing licensing regulations using the term assisted […]
Consumer Protection and Quality Oversight in Managed Care: How are States Meeting the Challenge?
/in Policy Reports /by NASHPStates play numerous, complex roles in assuring the quality of health care provided to their citizens. They license and regulate commercial, or private, managed care plans (which now serve 40 million Americans), operate and oversee Medicaid managed care programs, and administer managed health benefits for state employees and retirees. As consumer and provider concerns over […]
Policies for Care Coordination Across Systems: Lessons from ABCD III
/in Policy Reports Chronic and Complex Populations, Maternal, Child, and Adolescent Health /by NASHP and Neva KayeHow can states help primary care providers (PCPs) and community service providers coordinate care? In NASHP’s third Assuring Better Child Health and Development learning collaborative (ABCD III), five state teams (AR, IL, OK, OR, and MN) have piloted projects to systematize care coordination between PCPs of young children with potential developmental delay and community providers, […]
Monitoring the Quality of Health Care Provided to Children in Foster Care
/in Policy Reports /by NASHP and Neva KayeAs states continue to expand managed care to serve people with complex needs, the number of children in foster care served by Medicaid managed care continues to grow. By 1996, nearly half of the states (22 in all) had enrolled children in foster care into risk-based Medicaid managed care; 17 of these states required at […]
The Impact of Medicaid Managed Care on Essential
/in Policy Reports /by NASHPWith a primary mission to provide care to underserved populations, essential community providers* have long played a crucial role in delivering care to Medicaid beneficiaries. As states have turned increasingly to Medicaid managed care and risk-based contracting, policy makers and advocates for vulnerable populations have worried that a reliance on commercial managed care organizations might, […]
Is Bigger Better? Legal and Policy Issues in Health Plan Mergers: A Guide for State Health Policy Makers
/in Policy Reports /by NASHPIn the spring of 1998, two health plans, Humane and United Healthcare, proposed to merge. The $6.2 billion transaction, the largest in a growing number of health plan mergers over the last decade, would have created one of the nation’s biggest health plans covering 10 million people.1 Because one or both plans operated in virtually […]
Consumer Education for Medicaid Managed Care Enrollees
/in Policy Reports /by NASHPAs more and more Medicaid beneficiaries receive their health care coverage through managed care, the need for effective education grows. When enrollees have the information they need to navigate the managed care system, they are more likely to use their plan correctly, to see their provider, and to receive a physical examination. Lacking adequate education […]
Benefit Design in Risk Based Medicaid Managed Care: Findings of the 1996 National Academy for State Health Policy Survey and Issues to Consider
/in Policy Reports /by NASHPThere has been significant growth in Medicaid risk-based contracting during this decade. As Medicaid managed care has evolved, it has expanded to include the coverage of persons with more complex health needs. Not only are the more ‘traditional’ Medicaid beneficiaries such as AFDC families, low-income children and pregnant women receiving their health care through managed […]
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