Blogs / Reports
FEATURED ARTICLE
Keeping Children’s Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children’s Health Insurance Leaders
/in Policy Reports Maternal, Child, and Adolescent Health /by NASHP and Catherine HessWith passage of the Affordable Care Act, the stakes for children’s coverage perhaps have never been higher. Children potentially have much to gain in coverage for themselves and for their parents. However, they also have much to lose in shifting attention, and in unintended consequences of reforms focused on adults. To examine the options for […]
Public Managed Care for Older Persons and Persons with Disabilities
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPMajor Issues and Selected Initiatives Interest in managed care for older persons and persons with disabilities has intensified in recent years, as states and the federal government have searched for ways to make publicly funded programs more effective and less costly. The heightened interest has stimulated a lively debate among consumers, policy makers, advocates and […]
Reducing the Cost of Institutional Care: Downsizing, Diversion, Closing and Conversion of Nursing Homes
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPMedicaid today pays for 41% of the nation’s long term care bill. Most of that spending (85%) is on institutions. As the Congress grapples with efforts to reduce Federal expenditures and balance the budget, the Medicaid program and its investment in long term care are particularly vulnerable to cuts. Indeed, Medicaid comprises nearly half of […]
The Arizona Long Term Care System
/in Policy Arizona Reports Chronic and Complex Populations /by NASHPReport 1 in a Series of State Case Studies Arizona began providing acute care services to Medicaid eligible residents in 1982 through the Arizona Health Care Cost Containment System (AHCCCS), a Section 1115 Research and Demonstraction Waiver demonstration program approved by the US Health Care Financing Administration (HCFA). Long term care services were covered under […]
Coordinating Services With and For Persons with Disabilities: A Challenge for State Government
/in Policy Reports Chronic and Complex Populations /by NASHPThis paper reflects the conversations and considerations of a focus group of 18 individuals representing persons with disabilities and their advocates and State and Federal officials. Convened to review the National Academy for State Health Policy’s recent publication, A Guide to Federal Programs for People With Disabilities, the group was invited to muse about how […]
Setting Policy for Assisted Living: Key Issues
/in Policy Reports Chronic and Complex Populations /by NASHPThis policy paper was prepared to assist state leaders in creating a viable, affordable, more user friendly alternative to nursing homes for a significant subset of the population who are now residing in or are likely in the future to enter a nursing facility if residential options are not available. To assist in preparing the […]
State Long Term Care Programs At a Glance
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThis report highlights What states have been doing to reduce their expenditures on long term care while maintaining access to needed services. In our analysis of the major strategies employed by the states we found that they fell into several categories: (1) Delivery system activities include strategies to reduce or control the number of nursing […]
State Interagency Collaboration: Assuring Quality Care for Mothers and Children in Medicaid Risk-Based Managed Care
/in Policy Reports /by NASHPMany agencies at the State level have regulatory authority over managed care plans operating in the private and public sectors. How can those agencies better coordinate, eliminate duplication, reduce administrative cost and improve quality of care? Several factors suggest a need for improved interagency collaboration: more and more health plans are (or will be) enrolling […]
Helping States Increase Primary Care That Is Affordable, Available, and Appropriate
/in Policy Reports /by NASHPThe Role of States in Health Workforce Development Now is a critical time for states to consider their role in developing the health care wokforce, particularly primary care providers. The rapid changes in our health care system, especially the extraordinary growth of managed care in general and Medicaid managed care in particular, are having a […]
How Are We Going to Pay for Long Term Care? Another Look at Long Term Care Insurance
/in Policy Reports Chronic and Complex Populations /by NASHPAlthough the debate over Medicare reform has had significant public exposure, the proposed cuts in Medicaid have received little attention. Yet these cuts could seriously impact the lives of millions of elderly citizens and their families. Medicare has done an admirable job of providing coverage for physician and hospital care, however, it does not provide […]

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