Blogs / Reports
FEATURED ARTICLE
Health Insurance Exchange Basics
/in Policy Reports /by Sarabeth ZemelState health insurance exchanges are a key feature of the Affordable Care Act. This brief sets forth the major requirements for exchanges as described in the federal law. These requirements fall into four categories: administration and governance, insurance plan oversight, interactions with consumers, and information transfer and availability. The Affordable Care Act requires the Secretary […]
On the Road to Better Value: State Roles in Promoting Accountable Care Organizations
/in Policy Reports /by Anne GauthierStates are keenly aware of the need to create more coherent and value-driven systems of care through improved payment and delivery systems. The accountable care organization (ACO) model has received increased attention as a mechanism to promote better value in health care spending. This report examines the development of the ACO model in seven states, […]
Improving the Lives of Young Children: Opportunities for Care Coordination and Case Management for Children Receiving Services for Developmental Delay
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffThis brief, written by Carrie Hanlon and produced by the Urban Institute ,examines states’ Medicaid and CHIP policy choices and new opportunities under health reform and other federal legislation to develop a well-coordinated system of care for children receiving Early Intervention (EI) and other ongoing services. State examples in the paper draw significantly from NASHP’s […]
The Affordable Care Act and Children with Special Health Care Needs
/in Policy Reports /by NASHP StaffThe Affordable Care Act (ACA) provides states with some important tools that can be utilized to provide more continuous, adequate and affordable coverage for children with special health care needs (CSHCN). How the law is interpreted and whether implementation challenges are addressed with the unique needs of CSHCN in mind will shape how well the […]
Charting CHIP IV: A Report on State Children’s Health Insurance Programs
/in Policy Reports /by NASHP StaffCharting CHIP IV: A Report on State Children’s Health Insurance Programs Prior to Major Federal Policy Changes in 2009 and 2010 is the fourth in a series published by the National Academy for State Health Policy (NASHP) since 1998. The report paints a portrait of state Children’s Health Insurance Programs (CHIP) as they stood in […]
State Strategies to Improve Quality and Efficiency: Making the Most of Opportunities in National Health Reform
/in Policy Reports /by Abigail AronsThere is an acknowledged need for extensive reform to the health care delivery system in the United States. The Patient Protection and Affordable Care Act offers unprecedented opportunities to transform care delivery, with numerous provisions that support systemic improvements. States have an imperative to greatly improve system efficiency if they are to effectively and sustainably […]
State Innovations to Transform and Link Small Practices
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP StaffFederal and state governments play a significant role in strengthening the delivery of primary care, however current efforts have disproportionally been focused on large or multi-specialty practices. This report examines the roles states are playing to reorganize the delivery of primary and chronic care to produce more efficient and effective care, particularly in small practices. Through […]
Linking Children to Services: Building on Community Assets to Pilot Test Improvement Strategies
/in Policy Reports Chronic and Complex Populations, Health Coverage and Access /by NASHP StaffThe five states participating in the third Assuring Better Child Health and Development (ABCD) learning consortium have gone through an extensive planning process to set the stage for implementation of interventions to improve coordination among providers serving children in pilot communities. This document describes 1) how Arkansas, Illinois, Minnesota, Oklahoma, and Oregon are building on […]
State Uses of Hospital Discharge Databases to Reduce Racial and Ethnic Disparities
/in Policy Reports Population Health /by NASHP StaffThis report summarizes how leading states that participate in the Healthcare Cost and Utilization Project (HCUP) and their clients use hospital discharge data on patient race/ethnicity to inform state health care disparities reduction activities. The report features California, Florida, Massachusetts, Rhode Island, and Wisconsin HCUP Partners, but also notes activity in Connecticut, Georgia, New Jersey, […]
Implementing the Affordable Care Act: New Options for Medicaid Home and Community Based Services
/in Policy Reports /by Diane JusticeStates have significant roles in implementing practically all aspects of the Affordable Care Act. The Act gives states additional options for financing Medicaid home and community based services and supports (HCBS) through a combination of enhanced Medicaid matching payments, demonstrations, and new Medicaid state plan options. They include the State Balancing Incentive Payments Program, the […]

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