Blogs / Reports
FEATURED ARTICLE
Policy Levers Key for Primary Health Care Organizations to Support Primary Care Practices in Meeting Medical Home Expectations: Comparing Leading States to the Australian Experience
/in Policy Colorado, North Carolina, Oregon Reports Cost, Payment, and Delivery Reform, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachA new study looks at how leading states stack up to Australia on organizing primary care. Colorado, North Carolina, and Oregon have implemented regionally based Medicaid-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations and improve the capacity of practices. Several countries with highly ranked delivery systems have implemented similar […]
An Update on Open Enrollment in the State-Based Marketplaces
/in Policy Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPThe winter holiday season is in full swing and as many people are counting down to their celebrations, the health insurance marketplaces are counting down to their December enrollment deadlines to ensure consumers are covered by January 1. To date, the marketplaces have reported steady progress on enrollment. As of November 28, CMS reported that […]
Community Health Workers in the Wake of Health Care Reform: Considerations for State and Federal Policymakers
/in Policy Reports Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Long-Term Care, Population Health /by Lesa RairAs states and the nation transform their health systems, many policymakers are turning to community health workers (CHWs) to tackle some of the most challenging aspects of health improvement, such as facilitating care coordination, enhancing access to community-based services, mitigating the impacts of the social determinants of health, reducing health disparities, and containing costs. In […]
Dental Benefits and Health Insurance Marketplaces: An Update on Policy Considerations
/in Policy Reports Child Oral Health, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, Oral Health, State Insurance Marketplaces /by NASHP and Najeia MentionThe Affordable Care Act (ACA) includes pediatric dental services as one of ten Essential Health Benefits that health plans in the small group and individual markets must cover. Adult dental services are not required, but are being offered by marketplace plans as well. However, the way that the ACA structures dental coverage has created a […]
What’s at Stake for States? The Lines are Drawn in Gobeille v. Liberty Mutual
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Quality and Measurement, Value-Based Purchasing /by Lesa RairOn December 2nd, the US Supreme Court will take up Gobeille v. Liberty Mutual, a case which could limit states’ ability to collect essential data to advance payment reforms, address cost and quality and assure consumers have information and access to care. At issue is whether or not a state can compel a self-insured employer to […]
Highlights from the Behavioral Health Preconference: It’s All about Collaboration
/in Policy Arizona, Connecticut, Massachusetts, Ohio 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 System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Lesa RairOn October 19th in Dallas, NASHP brought together a diverse group of state and federal Medicaid and mental health leaders to talk about emerging issues in the world of mental health, substance use, and recovery. True to its title, the pre-conference session “Whole Person Care: Finding Shared Solutions Across Mental Health, Substance Use, and Medicaid […]
Talking Coverage: SBMs Keep Lines of Communication Open with Consumers
/in Policy California, Colorado, Connecticut, District Of Columbia, Massachusetts, Minnesota, Rhode Island, Vermont Blogs Health Coverage and Access, State Insurance Marketplaces /by NASHPHeading into the third week of open enrollment, early outlook has been positive for state-based marketplace (SBM) states. California recently wrapped up a 2,000-mile bus tour to “spotlight” the launch of open enrollment; Massachusetts and Vermont, which in prior years struggled with technical systems, report smooth enrollment via their enhanced systems; Minnesota is touting a […]
The Healthier Washington Initiative Promotes Accountable Communities of Health Statewide
/in Policy Washington Blogs Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by Taylor KniffinAt a recent NASHP preconference, Improving Health, Lowering Costs: Translating Population Health into Effective State Policy, we heard from Washington State about the innovative work currently underway as part of its Healthier Washington initiative. This panel featured MaryAnne Lindeblad from the Washington Health Care Authority (HCA) and two local perspectives: Patty Hayes, Director of Public […]
Improving Behavioral Health Access & Integration Using Telehealth & Teleconsultation: A Health Care System for the 21st Century
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement, Safety Net Providers and Rural Health, Workforce Capacity /by Lesa RairIndividuals with medical and behavioral health comorbidities often receive fragmented care, resulting in higher costs and poorer outcomes. States, the federal government, and providers have all made significant investments to build and expand evidence-based integration models, such as the collaborative care model, to reduce fragmentation and improve care. However, workforce shortages and limited resources may hinder […]
And They’re Off: New State-based Marketplace Consumer Services and Supports Launch for OE3
/in Policy California, Connecticut, Idaho, Kentucky, Maryland, Massachusetts, Rhode Island, Vermont Blogs Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairOn November 1, health insurance marketplaces officially opened to millions of individuals for 2016 enrollment. Early reports indicate a smooth launch of the open enrollment season, partially due to several new tools to ease enrollment and renewal processes for marketplace consumers. Smarter Plan Comparison Tools Recent articles have featured the many new shopping tools available […]

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