Blogs / Reports
FEATURED ARTICLE
Facing Budget Uncertainties, States Seek New Opportunities to Fund Successful Home Visiting Programs
/in Policy Minnesota, New York, Virginia Blogs Chronic Disease Prevention and Management, Community Health Workers, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health /by Becky Normile and Karen VanLandeghemStates have a long history of using home visiting programs to deliver cost-effective interventions to vulnerable children and families, and recent federal investments have been instrumental in the expansion of evidence-based home visiting programs across the United States. Due to budget uncertainties at the state and federal level, states are exploring opportunities to maximize investments […]
Moving Toward Health Care Compromise: Bipartisan Hearings Take Center Stage
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsThis month, the Senate Health Education and Labor (HELP) committee began to craft a bipartisan bill to bring short-term stability to the Affordable Care Act’s (ACA) individual insurance market. The committee, led by Chairman Lamar Alexander (R-TN) and ranking member Patty Murray (D-WA), hosted a series of four hearings featuring insurance commissioners, consumer advocates, a […]
Report Highlights Medicaid Funding of Home Visiting Services for Women, Children, and Families
/in Policy Kentucky, Michigan, Minnesota, New York, Oklahoma, South Carolina, Virginia Reports Chronic and Complex Populations, Health Coverage and Access, Maternal, Child, and Adolescent Health, Population Health /by Alexandra King and Karen VanLandeghemHome visiting programs have a long track record of improving health and life outcomes of children and families, such as increasing school readiness and reducing hospitalizations, while generating long-term savings. States use home visiting to target interventions for some of their most vulnerable populations and utilize multiple private and public funding streams, including Medicaid, to […]
Learn How Oregon Is Integrating Oral and Physical Health in Medicaid Through Its Coordinated Care Organizations
/in Policy Oregon Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Oral Health /by Najeia MentionMany adults enrolled in Medicaid lack adequate dental care coverage, which is essential to overall health. Oregon is a pioneer, using Medicaid coordinated care organizations to offer integrated physical, mental health, and now oral care. A new NASHP report, supported by the DentaQuest Foundation, examines Oregon’s innovative payment and financing structures, incentive measures, and key […]
State Strategies to Address Rising Prices Caused by Health Care Consolidations
/in Policy Annual Conference, Reports Community Benefit, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Quality and Measurement /by Erin Fuse Brown, JD, MPHForeward by Trish Riley, NASHP Executive Director The debate over the future of the Affordable Care Act (ACA) and the stability of the individual health insurance markets masks a bigger issue–the underlying cost of health care. From NASHP’s Center for State Rx Drug Pricing to our work on value-based purchasing and alternative payment methods, we support states […]
Risky Business: How State and Federal Insurance “Risk” Calculations Could Stabilize ACA Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Corinne AlbertsAs Congress returns from its summer break, the country is two months away from the start of open enrollment in the Affordable Care Act’s (ACA) marketplace, leaving little time for policymakers to develop solutions for 2018. With bipartisan hearings on market stabilization scheduled, this blog examines how different approaches to calculating risk could help state […]
Twelve State-based Exchanges Outline Strategies to Stabilize Individual Market
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Jennifer Laudanojlaudano@oldsite.nashp.org Full text of the letter is available here. Today, Executive Directors from twelve health insurance marketplaces sent a letter to leadership of the Senate Health, Education, Labor and Pensions (HELP) Committee detailing consensus strategies to bring immediate stability to the individual market. The state-based marketplaces (SBMs) and state-based marketplaces operating on the federal platform (SBM-FP) […]
Increasing Urgency for States on Congressional Action for CHIP
/in Policy Blogs CHIP, Maternal, Child, and Adolescent Health /by Maureen Hensley-QuinnWe are five weeks away from September 30th, the date current federal funding for the Children’s Health Insurance Program (CHIP) is set to end. Although states can use some of the unspent federal funds that were previously allocated to them, it is projected that those funds will be exhausted during the next fiscal year, beginning […]
Lowering Drug Costs: Transparency Legislation Sets Off Flurry of New State Approaches
/in Policy California, Maryland, Nevada, Pennsylvania, Vermont Blogs Administrative Actions, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by Trevor Flynn and Jerin PhilipResponding to rapidly rising drug costs, 30 states across the country have drafted more than 60 drug price transparency bills designed to: Identify the costs that contribute to drug manufacturer expenses and list prices And unveil the often opaque business practices of pharmacy benefit managers (PBMs). In addition to promoting pricing transparency, as of early […]
Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsAn update on CSRs – Aug. 18 Since publication of this blog, two major developments have occurred. The White House indicated that the Administration will make CSR payments for August. The Administration has not commented about future payments; the next is due Sept. 20. On Aug. 15, the Congressional Budget Office (CBO) released an analysis […]

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