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The KAISER-HCFA State Symposia Series: Medicaid-Only Managed Care Organizations
/in Policy Reports /by NASHPThe Henry J. Kaiser Family Foundation and the federal Health Care Financing Administration (HCFA) of the U.S. Department of Health and Human Services, through the National Academy for State Health Policy, convened this symposium as fourth in the series entitled T he Kaiser-HCFA State Symposia Series: Transitioning to Medicaid Managed Care. These symposia are designed […]
Financing Managed Care for Children in Foster Care
/in Policy Reports /by NASHPAs the movement to enroll Medicaid beneficiaries in managed care plans continues to spread, new populations and services are coming into the fold of managed care. Nearly three-quarters of the states are enrolling low-income adults and children into capitated managed care programs. More recently, some states have introduced managed care to other, more vulnerable populations […]
Great Expectations: Fulfilling the Promise of the Children’s Health Insurance
/in Policy Reports /by NASHPThe Balanced Budget Act of 1997 (PL 105-33) created Title XXI of the Social Security Act, the State Children’s Health Insurance Program (CHIP), perhaps the most significant expansion of health care coverage since passage of Medicare and Medicaid in 1965. As the implementation process begins, CHIP holds great promise to serve all eligible low-income, uninsured […]
Recent and Pending Federal Reforms Related to Managed Care
/in Policy Reports Health Coverage and Access /by NASHPManaged care offers health care purchasers and providers an important opportunity to improve the quality of health care that individuals receive. At the same time, devising and implementing managed care quality accountability arrangements represents a major challenge for purchasers generally and for Medicaid purchasers in particular. This paper, prepared for the National Academy for State […]
State Employee Health Purchasing Agencies and Managed Care Contracting
/in Policy Reports /by NASHPThis report describes the contracting practices of state agencies that are responsible for administering health insurance benefits for state employees. Twenty-five state employee health purchasing agencies responded to a mailed survey in the fall of 1997. The survey requested information in four areas: the types of managed care entities (MCES) contracting to serve state employees; […]
Emerging Challenges in State Regulation of Managed Care
/in Policy Reports /by NASHPReport on a Survey of Agency Regulation of Prepaid Managed Care Entities Consumer protection for citizens enrolled in managed care is an important role for state governments. As managed care rapidly evolves, how are states keeping up with oversight of these new types of entities? This report contains the results of a survey developed by […]
State Assisted Living Policy: 1996
/in Policy Reports /by NASHPThis study reviewed the assisted living and board and care policies in each of the 50 states. Fifteen states have existing licensure regulations for assisted living facilities. Regulations are being developed by an additional nine states. Twenty two states reimburse, or plan to reimburse, assisted living as a Medicaid service including states that do not […]
The Kaiser-HCEA State Symposia Series Transitioning to Medicaid Managed Care Consumer Protection: Lessons Learned From States
/in Policy Reports /by NASHP and Neva KayeAs states transition their Medicaid programs into a sometimes chaotic and always fast moving managed care marketplace, careful consideration is required to protect Medicaid beneficiaries and assure them access to quality care. Based upon a day-long discussion with state officials, this paper summarizes how states are developing those consumer protections through enrollment and disenrollment systems, […]
A Legislator’s Guide to Medicaid Waivers
/in Policy Reports /by NASHPMedicaid waivers are important tools for states hoping to reform their Medicaid programs. 1996.Dec_.legislators.guide_.medicaid.waivers.pdf 1.3 MB
A State Policymaker’s Guide to Non-Profit Hospital and Health Plan Conversion
/in Policy Reports /by NASHPConversions of non-profit hospitals and Blue Cross/ Blue Shield plans are gaining public attention because most of these institutions have traditionally served various community needs, been locally controlled, and been supported by tax subsidies and, often, local donations. Conversion issues affect every state, because every Blue Cross and Blue Shield plan is likely at least […]
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