Blogs / Reports
FEATURED ARTICLE
Snapshot: State Leaders Talk AHCA
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by State LeadersOn March 7, NASHP issued a chart summarizing how the American Health Care Act, passed out of House committees the day before, differed from the Affordable Care Act (ACA). In addition, NASHP held a summit with state leaders to discuss those changes and how they might affect states. These leaders represented the diversity of states […]
The Prevention and Public Health Fund — Lessons from States; Questions for Policymakers
/in Policy Florida, Louisiana, Pennsylvania, Texas, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Jill RosenthalThe American Health Care Act, which proposes to repeal and replace the Affordable Care Act (ACA), would dismantle the Prevention and Public Health Fund (PPHF). States received over $625 million from the PPHF in fiscal year 2016,[i] and stand to lose more than $3 billion over five years if it is repealed.[ii] The bill would […]
NASHP Releases Model Rx Transparency Legislation
/in Policy Blogs Model Legislation, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersPharmaceutical prices are rising, driving up premiums and out-of-pocket costs. Today, 21 percent of spending in employer-sponsored plans goes to retail prescription drugs.[i] State budgets – which by law must be balanced- are reeling from high and unpredictable pharmaceutical increases for corrections, state employees and retirees, K-12 and public university employees, and, of course, Medicaid. […]
Empowering and Protecting Consumers: ERISA Thwarts State Innovation
/in Policy Reports Health Coverage and Access, Health System Costs, Hospital/Health System Oversight, Prescription Drug Pricing, State Insurance Marketplaces, State Rx Legislative Action /by Trish Riley and Erin Fuse Brown, JD, MPHAs the national debate over the ACA continues, this publication looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]
Majority of States Planning on Federal Funding for CHIP to Continue According to New Nationwide Survey of CHIP Directors
/in Policy Blogs CHIP, CHIP, Essential Health Benefits, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP StaffThe National Academy for State Health Policy (NASHP) today released the findings of a nationwide survey of CHIP Directors that shows a majority of states are planning upcoming budgets on the assumption federal funding for the Children’s Health Insurance Program (CHIP) will continue. Only five states have begun the initial efforts of contingency plans should funding not […]
Integrating Substance Use Disorder Treatment and Primary Care
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Hannah Dorr and Charles TownleyAs the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]
2017 CHIP Directors Survey Results
/in Policy Reports CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP StaffFederal funding for the Children’s Health Insurance Program (CHIP) is set to end on September 30, 2017 without Congressional action. In December 2016, The National Academy for State Health Policy (NASHP) surveyed state CHIP officials to learn about any recent changes in their CHIP programs and how states are budgeting and planning for CHIP considering its uncertain future. […]
Health Savings Accounts — Lessons from States; Questions for Policymakers
/in Policy Indiana, Michigan Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersAs Congress continues its Affordable Care Act (ACA) repeal effort, and evolving replacement options are in the spotlight, NASHP continues to track issues that appear in replacement proposals and provide state perspectives. In past weeks we’ve looked through a state lens at high-risk pools and selling insurance across state lines. Today we tackle another element of possible ACA replacement proposals: health savings accounts […]
Improving Health through Housing: Three Tips For State Policymakers
/in Policy Blogs Chronic Disease Prevention and Management, Community Benefit, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Population Health, Social Determinants of Health /by NASHP WritersState and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. Numerous studies show that housing and housing supports can help vulnerable populations improve and maintain health while lowering hospital and other costs for state and local governments. Addressing health and housing can also further state […]
High Risk Pools Deja Vu – Lessons from States, Questions for Policymakers
/in Policy Minnesota, Virginia Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Prescription Drug Pricing, State Insurance Marketplaces /by Anita CardwellCongress has begun its Affordable Care Act (ACA) repeal effort and evolving replacement options are receiving considerable attention. NASHP is tracking issues that appear in multiple proposals and will provide state perspectives, including: How might they impact states? What might they cost? Have they been tried before in states and what did we learn from […]

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