Blogs / Reports
FEATURED ARTICLE
Collaborative Strategies to Improve State & Local Public Health Systems: Is the Cold War Really Over?
/in Policy Reports Health Coverage and Access /by NASHPThe roles of financing and grant programs are intimately related. While grant programs like MCH and Community and Migrant Health Centers have always subsidized care, the extent of their responsibility is determined by the scope of the entitlement program. If Medicaid eligibility is low, grant funds must be used to subsidize more people. If, on […]
Quality Improvement Primer for Medicaid Managed Care
/in Policy Reports /by NASHPThis Quality Improvement (QI) Primer is a compilation of insights and tools gathered over a two-year period as three states implemented a new approach for monitoring the quality of services under Medicaid managed care arrangements. Through funds made available from The Henry J. Kaiser Family Foundation, Minnesota, Ohio and Washington worked with the National Academy […]
Less Federal Funding for Medicaid: Is State Flexibility the Answer?
/in Policy Reports /by NASHPOpportunities and Concerns This paper is intended to help policymakers consider the implications of reduced rates of Federal funding for Medicaid from a perspective of state implementation. We reviewed the experience of states in implementing earlier block grants and considered how states might administer a smaller Medicaid program. The paper identifies what kind of flexibility […]
The Decline of State-Based Hospital Rate Setting: Findings and Implications
/in Policy Reports /by NASHPThis paper summarizes the results of a conference in Albany, New York in November 1994 that brought together representatives from the four current and former “all payer” rate setting states of Maryland, Massachusetts, New Jersey and New York. State-based prospective hospital rate setting has declined from its former position as “the center of the policy […]
Guide to Assisted Living and State Policy
/in Policy Reports /by NASHPThe 1995 edition of the Academy’s Guide to Assisted Living and State Policy builds upon the 1992 publication. We have expanded the scope to include all states we can identify that have a program or licensure category called assisted living. We have tried to analyze how states are developing and implementing assisted living to develop […]
Quality Improvement Standards and Processes Used by Select Public and Private Entities to Monitor Performance of Managed Care Plans
/in Policy Reports /by NASHPOver the past several years, HCFA’s Medicare and Medicaid offices have been engaged in concurrent initiatives to design and implement standards and strategies for quality improvement under managed care arrangements. 1995.Apr_.quality.improvement.standards.processes.monitor.performance.managed.care_.plans_.pdf 10.1 MB
The Study Group on Long Term Care Options in Maine
/in Policy Reports /by NASHPThe Study Group on Long Term Care Options in Maine is a group of interested citizens brought together by the National Academy for State Health Policy at the request of the UNUM Foundation to discuss how Maine provides long term care services to people in need. Because all of us could need long term care […]
NASHP Selects Six State Teams for Medicaid-Safety Net Learning Collaborative
/in Policy Blogs /by NASHPFostering State Policy to Support Integrated Delivery Systems: Summary of a Discussion Among State Policymakers and Delivery System Leaders
/in Policy Reports /by Lynn Dierker, NASHP, Laura Tollen and Mary HendersonA group of state and delivery system leaders convened for a day long symposium during NASHP’s 2011 Annual State Health Policy Conference to consider the potential of integrated delivery systems and effective policy levers to foster their development. This report comes from the symposium titled Fostering State Policy to Support Integrated Delivery Systems: Summary of […]
Shared Decision Making: Advancing Patient-Centered Care through State and Federal Implementation
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP StaffShared decision making (SDM)—a process that engages patients in a dialogue with their providers to help them select health care options that conform to their values and preferences—is receiving increased attention as a tool for improving quality and patient satisfaction, and addressing unwarranted variation in care. Building on NASHP’s analyses of state health system improvement […]

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