Blogs / Reports
FEATURED ARTICLE
State of Play: Latest Update on Federal Health Reform Efforts
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartAfter recent failed efforts to pass a health care repeal or replace bill, Congress spent much of last week re-grouping on a future healthcare strategy. While most current signals point to the likely end of a full ACA legislative repeal effort, there is pervasive recognition that there are issues that need to be urgently addressed […]
Unpacking the State-Based Marketplaces
/in Policy Blogs Eligibility and Enrollment, Health Coverage and Access, State Insurance Marketplaces /by Corinne AlbertsAs policy makers debate the future of health care, the twelve state-based marketplaces (SBMs) and five state marketplaces using the federal platform (SBM-FPs) have proven themselves sustainable, solvent examples of how state flexibility can be leveraged to bridge public and private interests to improve lives and drive stable markets. As a result of these efforts, states […]
State CHIP Changes Are Coming Soon
/in Policy Blogs CHIP, CHIP, Health Coverage and Access, Maternal, Child, and Adolescent Health /by Anita CardwellAs we enter into August, there is increased pressure on states because federal funding for the Children’s Health Insurance Program (CHIP) remains uncertain beyond September 30, which means states are now facing critical decision points. States do not know if and when Congress will continue funding CHIP and even if federal funds are extended will […]
BCRA and the Byrd Rule
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by NASHP WritersThe Better Care Reconciliation Act (BCRA) is being considered under a special legislative process known as budget reconciliation, which limits debate and allows a bill to pass with a simple majority. Reconciliation rules include the Byrd Rule requiring that bills passed through this process only include changes that directly affect the federal budget. On July […]
Strategies to Strengthen Health and Housing Partnerships Through Medicaid to Improve Health Care for Individuals Experiencing Homelessness
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Housing and Health, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health, Social Determinants of Health /by Hannah Dorr and Charles TownleyIndividuals experiencing homelessness are disproportionately impacted by chronic medical and behavioral health conditions, and many of these individuals lack health insurance or a usual source of care. State Medicaid agencies and safety net providers are important partners in meeting the medical, behavioral health, and social service needs of individuals and families experiencing homelessness. In this […]
Latest Update on Congressional Health Reform Activity
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Anita CardwellThis week, the Senate released two bills as part of its efforts to repeal the Affordable Care Act (ACA): A revision to the Better Care Reconciliation Act (BCRA) eliminating the “Ted Cruz Amendment” which provided funding to create coverage alternatives for high-risk individuals (see our revised chart) and; The Obamacare Repeal Reconciliation Act (ORRA), a […]
In Times of Constrained Resources, How Can States Innovatively Fund Health-Related Social Needs? Thoughts from Louisiana and Virginia
/in Policy Louisiana, Virginia Blogs Health Equity, Population Health, Social Determinants of Health /by Amy ClaryState leaders know that low-income and vulnerable populations often need services and supports outside the scope of a single state agency—or a single funding stream—to live healthy lives. In some states, braiding or blending funding streams lends programs a measure of flexibility, efficiency, and resiliency that a single source of funding might not. In the […]
How States Could Lower Costs for Brand Name Drugs
/in Policy Blogs Administrative Actions, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersStates are searching for new and innovative approaches to handle the rising cost of prescription medicines – both the sudden spike in spending that comes with a new high-cost treatment and the ongoing challenges of regular, inexplicable, price hikes for all covered drugs. The United States has the highest prescription drug prices in the world. […]
State Budgets Under Pressure: Is this the New Normal?
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs /by Ellen SchneiterAs Congress debates the future of the ACA and Medicaid funding, one question looms large: What will proposed changes mean to state budgets that are already under significant pressure? On July 6th, after protracted wrangling, Illinois enacted its first budget in two years. Maine and New Jersey experienced brief shut downs and Washington narrowly avoided […]
Drop in Benchmark Benefits and Tax Credit Support Highlighted in New Report that Compares Costs and Comprehensiveness of BCRA
/in Policy California, Ohio, Pennsylvania Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Lesa Rair and Lesa RairThe National Academy for State Health Policy (NASHP) in collaboration with Covered California today released a new report, Barely Covered: Initial Analysis of Coverage and Affordability Impacts to Consumers Under the Proposed Better Care Reconciliation Act, and 50-state interactive tool that compare the costs and comprehensiveness of coverage under the Better Care Reconciliation Act (BCRA) […]

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