Blogs / Reports
FEATURED ARTICLE
Proposed HHS Notice of Benefit and Payment Parameters for 2018
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersEarlier this month, the U.S. Department of Health and Human Services released its latest omnibus rule proposing a series of changes impacting insurance markets and the health insurance marketplaces. Our latest blog and accompanying memo break down a few key concerns for states as they finalize their comments due on October 6, 2016. Memo: Proposed […]
Potential Options and Policy Questions for Improving Exchange Coverage for Children
/in Policy Blogs, Reports CHIP, CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Essential Health Benefits, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Anita CardwellIf federal funding is not extended for the Children’s Health Insurance Program (CHIP) beyond September 2017, some children may need to transition to exchange coverage. NASHP’s new brief examines potential options and policy questions for improving exchange coverage for children in terms of both affordability and pediatric benefit adequacy. NASHP convened a group of stakeholders including […]
Five Things to Watch from HHS’s Latest ACA Proposed Regulations
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersOn September 6, 2016 U.S. Department of Health and Human Services released its latest proposed Notice of Benefit Payment Parameters; the annual omnibus rule to put into place regulatory changes impacting the health insurance marketplaces for the next plan year. Notably, the proposal was released several months earlier than usual this year, likely as a […]
A Federal-State Discourse on Maintaining Momentum for Payment and Delivery System Reform
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by StaffStates and the federal government have been undertaking an almost bewildering array of policy initiatives and experiments in an effort to improve value and reduce costs in the health care system. What are we accomplishing and learning from these efforts? And what’s needed to sustain and advance the most promising strategies? In July 2016, a group […]
Treatment for Children with Autism Spectrum Disorders and the EPSDT Benefit
/in Policy Reports 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, EPSDT, Health Coverage and Access, Health System Costs, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Barbara WirthState Medicaid agencies are working to provide comprehensive health care services for children with autism spectrum disorder (ASD), currently the fastest growing developmental disability in the United States for individuals under age 21. This brief highlights information from the 2014 CMS Informational Bulletin providing clarification on services to be provided to Medicaid-eligible children with ASD […]
Intervention, Treatment, and Prevention Strategies to Address Opioid Use Disorders in Rural Areas
/in Policy North Carolina Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Health Coverage and Access, Medicaid Managed Care, Physical and Behavioral Health Integration /by Chiara Corso and Charles TownleyA Primer on Opportunities for Medicaid-Safety Net Collaboration The prevalence of substance abuse disorders in the United States has increased dramatically in the past 15 years with catastrophic consequences, especially in rural regions of the United States. Deaths and injuries from illegal opioid and heroin use are more prevalent in rural states, and death from […]
The Nuts and Bolts of Medicaid Reimbursement for Developmental Screening: Insights from Georgia, Minnesota, and North Carolina
/in Policy Georgia, Minnesota, North Carolina Reports CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Najeia Mention and Felicia HeiderThe early years of a child’s life are critical for growth and development. Identifying developmental delays early and providing appropriate referral and treatment can help prevent more severe issues as well as considerable costs. State Medicaid agencies can play an important role in promoting early identification of developmental delays by reimbursing and tracking the use […]
Chronic Pain Management Therapies in Medicaid: Policy Considerations for Non-Pharmacological Alternatives to Opioids
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Health Coverage and Access, Long-Term Care, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by Hannah Dorr and Charles TownleyAlthough most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]
Revisiting Churn: An Early Understanding of State-Level Health Coverage Transitions Under the ACA
/in Policy Reports Health Coverage and Access, State Insurance Marketplaces /by Anita CardwellHealth coverage transitions—sometimes referred to as churn—have always existed to some degree, but with the Affordable Care Act (ACA) there are additional possibilities for churning to occur across multiple coverage sources. This new NASHP brief examines current efforts in some states to measure these coverage transitions and provides broader context on the issue of churn. […]
Putting the Evidence to Work for States
/in Policy Oregon, Washington Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement /by Felicia HeiderEvidence reviews are powerful tools that allow health policymakers to direct resources to certain options that outperform others. Evidence-informed approaches can optimize coverage decisions, increase performance on quality improvement measures, and drive effective responses to major challenges. One way states are utilizing these evidence-informed approaches is in addressing the opioid crisis. The Agency Medical Directors’ […]

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