Blogs / Reports
FEATURED ARTICLE
State Eligibility Rules and Assessment Instruments: Implications for People with Alzheimer’s Disease
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHPThe rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]
Directory of Risk-Based Medicaid Managed Care Programs Enrolling Elderly Persons or Persons with Disabilities
/in Policy Reports /by NASHPThis directory provides a snapshot of states enrolling elderly persons and/or persons with disabilities into risk-based Medicaid managed care programs as of January 1, 1997. For each state, it focuses on such issues as: Waivers Eligibility Specialty/generic program Voluntary/mandatory enrollment Service package Contractors Risk limitation mechanisms Case management Linkage with the long-term care system 1997-Jan.directory-riskbased-medicaid-managed-care-programs-elderly-disabilities.pdf […]
Challenges for Decisionmakers: How Managed Competition Could Affect Children with Special Health Care Needs
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPThis briefing report is written to alert public and private sector decision makers to the potential advantages and disadvantages of a health care reform strategy based on managed competition from the perspective of an important and vulnerable population — children with special health care needs. Nearly a third of all children in the U.S. currently […]
Low Income Children with Disabilities: How Will They Fare Under Health Care Reform?
/in Policy Reports Maternal, Child, and Adolescent Health /by NASHPThe purpose of this report is to alert public and private decision makers who are engaged in the health reform debate to the special circumstances facing low-income children with disabilities. These children require more care, different and specialized care, and more costly care than children without disabilities. Some benefit greatly from many of the services […]
A Guide to Federal Programs for People with Disabilities
/in Policy Reports /by NASHPThere are scores of federal programs for persons with disabilities. The National Academy for State Health Policy has prepared the Guide to Federal Programs for Persons with Disabilities as a resource for federal and state policy makers. The guide offers an overview of 129 programs. The primary source of information for the Guide was the […]
Managing Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls
/in Policy Reports Chronic and Complex Populations /by NASHPStates have demonstrated that it is possible to improve care for the elderly and contain costs at the same time. Notable examples of this success are the creative home- and community-based waiver and state-funded programs operating in Wisconsin, Oregon and Washington, which have shown that people who are nursing home certifiable can be given the […]
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 […]
Breakthrough or Barrier? The ADA and State Health Reform
/in Policy Reports /by NASHPThe question of how state and national health reforms affect people with disabilities was raised to public consciousness by the 1992 rejection by the Federal government of Oregon’s request to revise its Medicaid program on the grounds that the proposal might violate the Americans with Disabilities Act (ADA). In subsequently granting the request in March […]
Building Assisted Living for the Elderly into Public Long Term Care Policy: A Technical Guide for States
/in Policy Reports /by NASHPA recent addition to the array of long-term care services, assisted living combines the medical aspects of long-term care with a model of supported housing and social services. Definitions of asisted living vary and sometimes the services provided overlap with other models: board and care, personal care homes, residential care facilities, rest homes and others. […]
Flesh Or Bones? Early Experience of State Limited Benefit Health Insurance Laws
/in Policy Reports /by NASHPAs one means of reducing health insurance premiums, since 1990 about half of the states have enacted laws waiving mandated benefits for health insurance plans sold to small groups and/or individuals. This study reviewed the laws and early experience in eight states where plans have been on the market in 1990 and 1991. 1992.Aug_.early_.experience.state_.limited.benefit.health.insurance.laws_.pdf 1.2 […]

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