Blogs / Reports
FEATURED ARTICLE
Transitioning to Medicaid Managed Care: Children with Special Health Needs
/in Policy Reports Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHPIn an effort to identify key issues in Medicaid managed care for children with special health care needs and examine the ways that states have addressed those issues, the National Academy for State Health Policy (NASHP) convened a symposium in June of 1999 of state Medicaid officials and representatives of managed care organizations (MCOs), provider […]
Medicaid Managed Care: A Guide for States
/in Policy Reports /by NASHPSince the publication of the third edition of Medicaid Managed Care: A Guide for States in 1997, Medicaid managed care has continued its rapid expansion – both in enrollment and complexity. These changes and the growing sophistication of states, plans, advocates, and consumers hae raised new challenges for states. This Guide is designed to identify […]
Dental Care in Medicaid Managed Care: Report from a 19 State Survey
/in Policy Reports Health Coverage and Access /by NASHPPoor oral health can have a profound impact on both the short- and long-term health of an individual. Left untreated, extensive tooth decay and the resulting pain and infection can cause eating, learning, and speech problems in children. Each year, oral problems are responsible for children missing almost 52 million school hours. In adults, studies […]
Emerging Practices and Policy in Medicaid Managed Care for People with HIV/AIDS: Case Studies of Six Programs
/in Policy Reports Chronic and Complex Populations /by NASHPAs treatment strategies for HIV/AIDS undergo rapid change, states struggle with the dual challenges of providing quality health care and containing costs. By June 1996, in an effort to meet those challenges, 35 states (including the District of Columbia) reported enrolling at least some people living with HIV/AIDS (PLWHIV) in their risk-based Medicaid managed care […]
How Will States Implement Children’s Health Insurance Plans?
/in Policy Reports /by NASHPAn Analysis of State Plans Submitted to the Health Care Financing Administration by March 1, 1998 In an effort to insure health coverage for millions more low-income children through the recently enacted Children’s Health Insurance Program, states have begun to submit plans for federal review. A NASHP analysis of the eighteen state plans submitted by […]
A Policy Maker’s Guide to the State Children’s Health Insurance Program (CHIP)
/in Policy Reports /by NASHPIn the first session of the 105th Congress, the State Children’s Health Insurance Program (CHIP) was enacted as part of the Balanced Budget Act of 1997. CHIP is a federal -state program, authorized for 10 years and funded for 5, granting states up to 48 billion dollars to provide “child health assistance” to children who […]
Outreach, Marketing, Enrollment and Disenrollment Policies in Medicaid Managed Care: A Summary of a 1996 Survey of Medicaid Agencies
/in Policy Reports Health Coverage and Access /by NASHPThe focus of this paper is on enrollment and disenrollment policy and practice in Medicaid managed care. Specifically, this paper examines policies and practices in risk-based programs with attention to Primary Care Case Management (PCCM) program policies only as they specifically interact with risk-based enrollment policies. In risk-based managed care, a Medicaid agency contracts with […]
The Lay of the Land: What Program Managers Need to Know to Serve People With HIV/AIDS In Medicaid Managed Care
/in Policy Reports Chronic and Complex Populations /by NASHPThis report will help state officials, advocates and consumers implement risk-based Medicaid managed care programs that meet the health care needs of people with HIV/ AIDS in cost-effective ways. 1997.May_.program.managers.serve_.hiv_.aids_.medicaid.managed.care_.pdf 3.2 MB
Medicaid Financial Eligibility for Aged, Blind and Disabled: Survey of State Use of Selected Options
/in Policy Reports /by NASHPStates were asked about three optional eligibility categories that can qualify an individual for coverage of nursing facility services. States were asked only about financial (income and asset) eligibility criteria or standards; all states have other nursing facility coverage criteria concerning physical/functional status which this survey did not address. 1997.May_.medicaid.financial.eligibility.aged_.blind_.disabled.survey.pdf 524.3 KB
Enrollment and Disenrollment in Medicaid Managed Care Program Management
/in Policy Reports Health Coverage and Access /by NASHPHow do Medicaid managed care program managers use enrollment and disenrollment information to manage their programs? What does a low disenrollment rate imply about health plan (and enrollment broker) performance? Are people who select a health plan less likely to disenroll than those who are assigned to a plan? What elements of an enrollment system […]
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