Blogs / Reports
FEATURED ARTICLE
Federal and State Collaboration to Improve Health Through Housing
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Housing and Health, Medicaid Managed Care, 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. The cross-sector nature of efforts to provide health care, housing, and housing-related services to vulnerable populations can make it difficult for health and housing policymakers to align and coordinate their work. With support from The […]
Data, Delivery, and Decisions as Levers for Enhancing Whole-Person Care for People Living with HIV: Lessons From the Ruth M. Rothstein CORE Center
/in Policy Illinois Reports, Webinars Care Coordination, Chronic and Complex Populations, HIV/AIDS, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration /by Charles TownleySharing Accountability: State and Local Collaborations to Address the Behavioral Health Needs of Justice-Involved Individuals
/in Policy Annual Conference, Blogs 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 System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP StaffIndividuals involved in the criminal justice system often have complex health needs—rates of mental illness, substance abuse, and other health conditions are as much as seven times higher for justice-involved individuals than the general population.[1] Behavioral health issues in particular are prevalent among the justice-involved population. Estimates are that approximately 56 percent of individuals in […]
What can States do during Public Health Crises? Lessons Learned from Environmental Threats in Michigan, Rhode Island, and West Virginia
/in Policy Michigan, Rhode Island, West Virginia Annual Conference, Blogs Chronic Disease Prevention and Management, Community Health Workers, Health Equity, Population Health, Social Determinants of Health /by Alexandra KingWhen it comes to prevention, identification, and mitigation of public health crises states are at the forefront. These crises require a multi-sector state agency approach as often they disproportionally impact disadvantaged communities and are linked with challenging social determinants of health. The conversation regarding preparation and mitigation of these disasters has received increased national attention […]
Medicaid Funding Opportunities in Support of Perinatal Regionalization Systems
/in Policy California, Florida, Georgia, Illinois, South Carolina Blogs CHIP, Chronic Disease Prevention and Management, Health Coverage and Access, Healthy Child Development, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health /by Alexandra KingPreterm birth, which accounts for approximately 11.5 percent of all births and 50 percent of pregnancy-related costs, is the largest cause of infant morbidity and mortality. This creates a significant burden on the U.S. healthcare system. A leading strategy for decreasing infant morbidity and mortality related to preterm birth is for states to use perinatal […]
New Report Shows Increase in ED Utilizations for Behavioral Health – What States Can Do
/in Policy Delaware, Oregon, Washington Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health /by Jenna BluesteinThe Agency for HealthCare Research and Quality (AHRQ) released an eye-opening study this past week, indicating that utilization of emergency department (ED) services due to behavioral health conditions increased sharply from 2006 to 2013. The brief “Trends in Emergency Department Visits Involving Mental and Substance Use Disorders,” highlights a 52 percent increase in ED utilization […]
Implementing the Medicaid Managed Care Rule: A View from One State
/in Policy Virginia Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP WritersBy: Guest Blogger, Cheryl Roberts, Deputy Director of the Virginia Department of Medical Assistance Services and NASHP Academy Member During the 2016 NASHP Annual State Health Policy Conference, I gave my thoughts on 15 things that made me say, “Hmm” about the CMS Managed Care Regulations, aka The Mega Regs. I could note 40 but […]
Primary Care Provider Burnout: Implications for States & Strategies for Mitigation
/in Policy Virginia Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by NASHP WritersProvider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this brief addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as […]
2017 E-News Archive
/in Policy Blogs /by NASHP StaffDecember 19, 2017: States Work to Curb Rx Costs in 2018, and Brace for Insurance Reform December 12, 2017: States Consider Medicaid Buy-In to Expand Coverage Options December 5, 2017: National Academy Recommends Strategies to Lower Rx Prices That States Are Already Trying November 28, 2017: Is It Safe and Cost-Effective to Import Drugs from Canada? […]
Reflections on Repeal and Replace
/in Policy Blogs Essential Health Benefits, Health Coverage and Access, State Insurance Marketplaces /by Lesa RairAmidst discussion of repealing, delaying, and replacing the ACA, what’s ahead for health reform is uncertain, but may be informed by reflection on what’s gone before. In January 2000, the National Academy for State Health Policy (NASHP) convened a bipartisan group of state health policy leaders to discuss lessons learned from 25 years of state […]

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