Blogs / Reports
FEATURED ARTICLE
A Framework for the Development of Managed Care Contracting Specifications for Dually Eligible Adults
/in Policy Reports Chronic and Complex Populations /by NASHPA growing number of states are planning or implementing risk-based managed care programs for dually eligible adults: those who are eligible for both Medicaid and Medicare. The design of these programs is vastly more complicated than those previously implemented for AFDC beneficiaries. Eligibility for Medicare is one complicating factor, and the diversity of the target […]
Snapshot of Medicaid Managed Care Ombudsman and Grievance Procedures
/in Policy Reports /by NASHP and Neva KayeThis project, funded by the David and Lucile Packard Foundation, examines how five states handle Medicaid managed care enrollee complaints specifically through grievance processes, ombudsman programs, and fair hearings. The linkages among these aspects of grievance and complaint systems are explored and different characteristics of various state programs are highlighted. States selected for review were […]
Look Before You Leap Assuring the Quality of Care of Managed Care Programs Serving Older Persons and Persons with Disabilities
/in Policy Reports Chronic and Complex Populations /by NASHPSpurred by the success they perceive in managed care for women and children, states are turning to managed care delivery systems for older persons and persons with disabilities who qualify for Medicaid if they receive supplemental security income (SS1) payments or are determined to be eligible as medically needy. 1996.Sep_.assuring.quality.care_.managed.care_.older_.disabilities.pdf 1.5 MB
lmplications of Health Care Competition for Cost, Choice, Quality, and Innovation: The Role of Antitrust Policy Prepared
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHPThe US. health care environment is changing rapidly. As employers and public agencies have tried to control spending, more health care is provided through managed care organizations. This approach to delivering care has reduced hospital use and led to thousands of empty beds. It also has spurred provider collaboration, for example through hospital mergers, physician […]
Managed Care for Dually Eligible Beneficiaries: Key Program Design Choices for States
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThis is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]
Managed Care, Medicaid and the Elderly: The Florida Experience
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPIncreasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]
Managed Care, Medicaid and the Elderly: Five State Case Studies
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHPIncreasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]
Health Care Provider Networks: Regulatory Issues for State Policy Makers
/in Policy Reports /by NASHPHealth care provider networks are emerging in many states as physicians and hospitals seek to regain control over medical care from insurers and health maintenance organizations (HMOs) and as public and private sector purchasers seek to contain spending by contracting directly with providers. Networks gain the attention of state policy makers if they bear risk […]
Restructuring Medicaid: Options and Strategies for States
/in Policy Reports /by NASHPThis paper summarizes the three major proposals to restructure Medicaid (Appendix A) and helps states answer the question: How can the quality of health care to low income persons be maintained or improved if Medicaid cost growth is reduced and states are given increased flexibility to administer the program? Once a state creates a baseline […]
Managed Care for the Elderly: A Profile of Current Initiatives
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThe purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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