Blogs / Reports
FEATURED ARTICLE
State Health Policies Aimed at Promoting Excellent Systems: A Report on States’ Roles in Health Systems Performance
/in Policy Reports /by NASHPThis report presents findings from the State Health Policies Aimed at Promoting Excellent Systems (SHAPES) project undertaken by the National Academy for State Health Policy with support from The Commonwealth Fund. The project built on the work of The Commonwealth Fund’s Commission on a High Performance Health System to explore the roles that States play […]
Medically Needy: An Option Worth Revisiting?
/in Policy Reports /by NASHPMedicaid medically needy programs allow states the option to expand Medicaid coverage to people with high medical expenses and who otherwise would be ineligible due to income or resource limits. To qualify, individuals “spend down” into Medicaid coverage by paying out-of-pocket medical expenses to lower their income to a predetermined level. Currently, 33 states and […]
State Health Reform: How Do Dental Benefits Fit In? Options for Policy Makers
/in Policy Reports Health Coverage and Access /by NASHPThis paper discusses the options that states have to include dental benefits in a health care reform plan, if the state desires to do so. Oral health resides, for all intents and purposes, in a different world from general health. Dental care is separate in financing and insurance; provider education, licensing, and regulation; and service […]
The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives
/in Policy Reports /by NASHP StaffAccording to the Institute of Medicine (IOM), preventable medical errors are a leading cause of death in the United States. Yet, state officials who focus on patient safety have few venues to meet, share innovative strategies, and problem solve with each other because patient safety initiatives originate in a variety of state agencies. This report […]
Strategies States Can Use to Support the Infrastructure of a Medical Home
/in Policy Reports /by NASHPThe purpose of this State Health Policy Briefing is to examine strategies states can use to recognize and support medical practices that function as a medical home. This is the second in a series of briefs produced by the National Academy for State Health Policy (NASHP) in partnership with the Patient Centered Primary Care Collaborative […]
SCHIP and Adolescents: An Overview and Opportunities for States
/in Policy Reports /by NASHPOver the past decade, the State Children’s Health Insurance Program (SCHIP) has made great strides in increasing health care coverage among youth under age 19. However, this overall success masks an important disparity – adolescents are more likely to be uninsured than younger children. As state policy makers and program administrators seek to build on […]
Covering All Children: Issues and Experience in State Policy Development
/in Policy Reports Health Coverage and Access /by NASHPThis State Health Policy Briefing describes some of the most common strategies states use to achieve universal children’s coverage, including expanding public programs and creating other opportunities for families with uninsured children, such as through buy-in programs and premium assistance programs. It is based primarily on interviews conducted with senior administrators from eight state Medicaid […]
Adult Foster Care: A Resource for Older Adults
/in Policy Reports /by NASHPRising demand for a full array of service options and consumer preferences for home-like non-institutional settings is increasing the interest among state policy makers in adult foster care as a service for older adults. Although adult foster care may also serve individuals with developmental disabilities and other populations, the primary focus of this report is […]
Charting SCHIP: Report of the Second National Survey of the State Children’s Health Insurance Program
/in Policy Reports /by NASHPCharting SCHIP II: An Analysis of the Second Comprehensive Survey of State Children’s Health Insurance Programs is the second report published in a series that examine the policies and strategies that states use to manage their CHIP programs. These reports draw on information NASHP has collected through surveys conducted since 1998. Charting CHIP II represents […]
Improving Access to Health Coverage for Transitional Youth
/in Policy Reports Health Coverage and Access /by NASHPYouth in the juvenile justice and foster care systems often share many traits: a history of abuse or neglect, mental health and substance abuse needs, low incomes, and likely eligibility for public insurance programs. For both populations, custody transitions provide an opportunity to screen youth for Medicaid and State Children’s Health Insurance Program (SCHIP) eligibility. […]

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