Blogs / Reports
FEATURED ARTICLE
While the Administration Mulls How to Curb Prescription Costs, State Legislatures Take the Lead
/in Policy Blogs Administrative Actions, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersAs the country awaits the Administration’s plan to curb Rx drug costs, states take the lead, proposing and passing legislation to lower costs, despite industry opposition. As we await the details of President Trump’s proposals to curb escalating drug prices, states are continuing to push legislation to lower the cost of prescription drugs, despite the strong […]
Policymakers Weigh Patient-Centered Research on Care Models for Individuals with Serious Mental Illness
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health /by Olivia BaconMore than 10 million adults in the United States have serious mental illness (SMI) and 26 percent are covered by Medicaid. Today, states are investing in and creating new care delivery models to support these individuals, including behavioral health homes, and are employing a new health care workforce – peer navigators – to support these […]
New Insurance Rules Allow States to Revise Marketplace Coverage as Rate-Filing Deadlines Near
/in Policy Blogs Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersLast week, the US Department of Health and Human Services (HHS) released rules governing Affordable Care Act health plans in 2019 that give states the flexibility to revise what insurance plans are sold through their individual and small group marketplaces, and give consumers the option to buy “thinner” plans at lower prices. The long-awaited final […]
Do You Know What’s Really Driving Up Health Care Costs in Your State? Take This Quiz
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement /by NASHP StaffDo you really know what’s driving up health care costs in the United States? Take this true or false quiz to separate fact from fiction. It’s common knowledge that health care spending in the United States is much higher than in other developed countries, and our out-sized spending doesn’t even help us live longer. A new […]
Minnesota Accountable Community for Health Saves Medicaid $3.8 Million through Its Opioid Prevention Initiative
/in Policy Minnesota Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Expansion, Population Health, Social Determinants of Health /by Amy ClaryMorrison County’s Accountable Community for Health Accomplishments: Tapered 453 patients off narcotic, stimulants, and benzodiazepine prescriptions, which resulted in 540,000 fewer doses; Saved Medicaid $3.8 million by reducing these drug prescriptions; and Reduced jail time from an average 17 days to less than one in 36 surveyed patients who received medication-assisted treatment (Suboxone). *CHI St. […]
Report Highlights Effective State Strategies to Improve Lead Screening and Treatment in Children
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, CHIP, CHIP, Chronic and Complex Populations, Eligibility and Enrollment, Health Coverage and Access, Integrated for Pregnant/Parenting Women, Lead Screening and Treatment, Maternal, Child, and Adolescent Health /by NASHP WritersMore than 535,000 children in the United States under age five have high blood lead levels, and low-income and minority children who live in older housing are particularly at risk. This issue brief details the health impacts of lead toxicity in children and Centers for Medicare & Medicaid Services requirements for screening and treatment under […]
States’ Prescription Drug Transparency Laws Open the Black Box of Drug Pricing
/in Policy Blogs, Charts Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Model Legislation, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersSeveral states have passed drug price transparency laws that require drug makers to report the reasons behind dramatic price increases. These laws are an important first step to shine a light on why drug prices are rapidly climbing. To address a problem, state health policymakers need to understand it, but transparency laws don’t yet give […]
Leveraging State Purchasing Power to Stabilize the Individual Insurance Market: Washington State Leads the Way
/in Policy Washington Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces, Value-Based Purchasing /by NASHP WritersWashington state has enacted a groundbreaking law to help stabilize its individual insurance market and prevent “bare counties,” areas of the state without an insurance option on its exchange. Sponsored by longtime National Academy for State Health Policy (NASHP) member, state Rep. Eileen Cody, HB 2408 requires insurance plans covering state or school employees to offer at least […]
The Evolving Promise of Delivery System Reform Incentive Programs
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Jill RosenthalAmong the transformation initiatives states are undertaking to revamp, strengthen, and sustain their Medicaid delivery systems are provider payment incentives designed to lower costs and improve quality of care and health outcomes. A recent National Academy for State Health Policy (NASHP) report on Delivery System Reform Incentive Payment (DSRIP) programs and similar state incentive programs, […]
Mental Health and Opioid Crisis Programs Win Funding Hikes, Efforts to Stabilize Insurance Markets Fail
/in Policy Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Medicaid Expansion, Population Health, State Insurance Marketplaces /by NASHP StaffThe new $1.3 trillion budget bill that finances the federal government through September increased funding for a number of health programs that directly impact states, including rural programs to combat the opioid crisis. There were no appropriations made to stabilize Affordable Care Act (ACA) insurance markets. Under the budget, the Department of Health and Human […]

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