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WV Medicaid Covers an Innovative and Less Costly Treatment Model for Opioid-Affected Infants
/in Policy West Virginia Blogs Behavioral/Mental Health and SUD, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Infant Mortality, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health /by Becky Normile and Carrie HanlonEach year, state Medicaid programs cover more than $1 billion to care for infants with neonatal abstinence syndrome (NAS) – a condition caused by opioid use during pregnancy. NAS often results in expensive hospital stays in order to treat the infant’s withdrawal symptoms, such as irritability, poor feeding, seizures, and respiratory distress. Earlier this month, […]
Considering a State Individual Mandate? What Policymakers Can Learn from Massachusetts’ Experience and Maryland’s Proposal
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersAs states reach the midway point of their 2018 legislative sessions, many are looking for ways to stabilize their insurance marketplaces now that Congress has effectively eliminated the individual mandate that required all residents to be insured or pay a penalty. Without guaranteed participation by healthier consumers, marketplaces risk having more high-cost consumers in their […]
How the Federal Government Can Help States Address Rising Prescription Drug Costs
/in Policy Blogs Prescription Drug Pricing /by NASHP StaffState Medicaid programs, which face rapidly rising drug costs, have few bargaining chips to use when negotiating lower drug costs, due in part to decades-old federal rules that limit their bargaining power. NASHP, with support of The Commonwealth Fund, recently sat down with state and federal policymakers to identify policy and rule changes that could […]
Overview: How the President’s Proposed FFY 2019 Budget Impacts Critical State Health Programs
/in Policy Blogs Behavioral/Mental Health and SUD, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Infant Mortality, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP StaffOn Monday, the Office of Management and Budget released the president’s FFY 2019 budget request that proposes $68.4 billion for health programs administered by the U.S. Department of Health and Human Services (HHS) – which is $17.9 billion less than 2017 funding levels. The budget proposal included an addendum designed to align the proposed White […]
State-Based Marketplaces See Enrollment Growth in 2018, Despite Roadblocks and Confusion
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Christina CousartWhile national enrollment in Affordable Care Act (ACA) marketplaces reached 11.8 million for 2018 – about 3.7 percent less than in 2017 — enrollment in states that have more control over their marketplaces grew by 0.2 percent. Meanwhile, enrollment fell by 5.3 percent in states that use the federally-facilitated marketplace, according to data released by […]
How the Bipartisan Budget Act Impacts Key State Health Care Programs
/in Policy Blogs Behavioral/Mental Health and SUD, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, State Insurance Marketplaces /by NASHP StaffThe Bipartisan Budget Act of 2018, which continues government funding through March 23, 2018, addressed funding for several health care programs that heavily impact states. The temporary federal budget includes bipartisan agreement on discretionary budget caps for two years, which should help Congress put together a larger omnibus spending bill in March. The following outlines […]
Individual Marketplace Enrollment Remains Stable in the Face of National Uncertainty
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffState-Run Marketplaces’ Enrollment Outpaces Federal Sign-ups New data show that overall plan selections in the 2018 open enrollment period in state-based marketplaces (SBMs), the state-based marketplaces that use the federal platform (SBM-FPs) and the federally facilitated marketplace (FFM), remained generally stable despite facing significant national uncertainty. The National Academy for State Health Policy (NASHP) released […]
Four More States Submit Bills to Import Prescription Drugs from Canada
/in Policy Colorado, Missouri, Oklahoma, Utah, Vermont, West Virginia Blogs Administrative Actions, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersAs states pursue a wide range of legislation to address rising drug costs, four more states have joined Utah and Vermont to introduce bills to import prescription drugs from Canada through a state-run, wholesale operation. This market-based approach to providing more affordable medicines from Canada, where prescription drugs cost on average 30 percent less than […]
States Await Federal Action on Critical Health Care Safety Net Funding
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Safety Net Providers and Rural Health /by Rachel DonlonOne out of twelve Americans and one out of six adults and children covered by Medicaid and the Children’s Health Insurance Program (CHIP) receive their care at health centers funded in part by the federal Health Center Program. Funding uncertainty for this program and two other federal safety net programs — the National Health […]
State-Based Marketplace Directors Ask Senate Leaders to Support a Reinsurance Program
/in Policy Blogs Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP StaffExecutive directors of 10 state-based insurance marketplaces have asked leaders of the Senate Health, Education, Labor and Pensions Committee to support Congressional efforts to stabilize Affordable Care Act (ACA) insurance marketplaces through a reinsurance program that would spread the financial risk for high-risk individuals across insurance markets. The leaders wrote in a Jan. 30, 2018, […]

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