Blogs / Reports
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Fact Sheet Highlights Medicaid’s Critical Role in Screening for Maternal Depression
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Healthy Child Development, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by NASHP WritersDespite evidence that maternal depression is common and can impede the development of young children, it is often undiagnosed and untreated. Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. NASHP’s new fact sheet provides background on maternal depression while also presenting a summary of state Medicaid policies for […]
New Tools Help States Document Rx Costs and Identify Potential Savings
/in Policy Maine Blogs Administrative Actions, Prescription Drug Pricing, State Rx Legislative Action /by NASHP StaffJust how much are states spending on prescription drugs? And, which drugs account for their greatest expense? As state policymakers grapple with solutions to the problem of rising drug costs, officials are performing research to provide critical evidence and tools needed to inform policy. Two recent state efforts to document their prescription drug costs may […]
As State Legislatures Convene, Lawmakers Quickly Submit Bills to Curb Prescription Prices
/in Policy Blogs Administrative Actions, Legislative Tracker, Prescription Drug Pricing, State Rx Legislative Action /by Sarah LanfordOne week into the 2019 legislative season, lawmakers from 11 states have already submitted 30 bills to address the rising cost of prescription drugs. The bills submitted to date seek to implement wholesale drug importation programs, increase pharmaceutical pricing transparency, and regulate pharmacy benefit managers (PBMs), along with other drug cost containment initiatives. Last year, […]
Federal Rule Delay Impacts States’ and Insurers’ 2020 Plans
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Maureen Hensley-QuinnState regulators are already working to develop guidance and rules that will determine health insurance plans’ benefits and costs in 2020. However, states lack critical information to make updated calculations because the federal government has not yet released its 2020 Actuarial Value (AV) Calculator. Why is the AV calculator important? AV is used to sort […]
State Reinsurance Programs Lower Premiums and Stabilize Markets — Oregon and Maryland Show How
/in Policy Maryland, Oregon Blogs Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffAcross the nation, in response to rising health insurance premiums and unsettled markets, a growing number of states are using reinsurance programs to reduce premiums and stabilize jittery markets. What is reinsurance? A reinsurance program provides funds to health insurers to offset the costs of covering consumers with high medical costs. Generally, reinsurance funds become […]
California Creates a State Surgeon General Position
/in Policy California Blogs Chronic Disease Prevention and Management, Health Equity, Population Health, Social Determinants of Health /by NASHP StaffCalifornia Gov. Gavin Newsom unveiled several health care initiatives in his inaugural address last week, including a well-publicized plan to lower drug costs using public purchasing power. But a less-publicized action – establishing a state surgeon general post – to help tackle the social determinants of health and health equity, presents a significant opportunity for […]
NASHP Applauds Vermont for Taking Next Step in Prescription Drug Importation
/in Policy Vermont Blogs Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersFOR IMMEDIATE RELEASE Thursday, January 3, 2019 The Vermont Agency for Human Services has presented its report on wholesale importation of prescription drugs from Canada as required by the state’s legislature pursuant to a law enacted last year. The National Academy for State Health Policy (NASHP), with a team of consultants including FDAImports.com, LLC and […]
State-Based Marketplaces Open for Business
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersEnrollment is still open in some states and coverage continues across the nation. Washington, DC – On the heels of the Texas federal district court ruling against the Affordable Care Act (ACA), the National Academy for State Health Policy (NASHP) convened state health marketplace directors for reaction. They stressed the ACA remains the law of the […]
As Drug Prices Rise, Oklahoma’s Medicaid Agency Advances Alternative Payment Models
/in Policy Oklahoma Blogs Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Prescription Drug Pricing, Quality and Measurement, Value-Based Purchasing /by Jennifer ReckEscalating drug prices are forcing state Medicaid agencies to explore new payment models. According to Burl Beasley, director of Pharmacy Services for Oklahoma’s Medicaid program, older Medicaid payment strategies, such as negotiating enhanced rebates and multi-state purchase agreements, are not keeping pace with rising drug expenditures. Beasley cited the strain prescription drug costs were putting […]
Why Is Affordable Care Act Marketplace Enrollment Declining?
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersEarly reports from the Centers for Medicaid & Medicare Services indicate 2019 enrollment in the federally facilitated marketplace (FFM) could be lower than 2018, which would continue a declining enrollment trend first seen in 2017, which prompts the question – why? As this chart shows, policies and investment in outreach and application assistance for consumers […]

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