State Health Policy Blog

As we get closer to a decision on King v. Burwell, attention is turning to the 34 states without a state-based exchange.   To date Maine has come closest to enacting a law, in the event of a decision for the plaintiff, with LD 1344, “An Act to Protect Maine Consumers in the Individual Health Insurance […]

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  • Are We There Yet? An Update on Gobeille v. Liberty Mutual
    State Health Policy Blog

    Summer is the season of the great American road trip, and as such the clarion call from back seats everywhere– Are we there yet? – will soon ring out across the nation. But, this summer for those in Vermont the call has a different meaning. In a May NASHP Health Policy Blog post, as the […]

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  • State Health Policy Blog

    In my previous “Walkabout Medical Home” blog posts I have highlighted the work Primary Health Care Organizations (PHCOs) in Australia (Medicare Locals) have done to connect people with mild to moderate mental health diagnoses to primary care or community-based services. This blog highlights the innovative work being done stateside by Oregon’s Health Share. Health Share […]

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    May 28, 2015 | Filed under: Behavioral Health, Oregon, State Health Policy Blog
  • State Health Policy Blog

    What happens when state health programs use separate data systems to serve the same population, such as mothers and children? State policymakers know that when those data systems do not “talk” to one another, states may waste resources on duplicative data entry and system maintenance; providers and state agencies may struggle to access information important […]

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    May 22, 2015 | Filed under: Children's Health, Health IT, State Health Policy Blog
  • State Health Policy Blog

    State policymakers have a critical role to play in how the Mental Health Parity and Addictions Equity Act (MHPAEA) is operationalized in state programs, including Medicaid managed care organizations, alternative benefit plans, and the Children’s Health Insurance Program (CHIP). Now that CMS has released long-awaited proposed rules on implementation of the MHPAEA in these programs, […]

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    May 20, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • State Health Policy Blog

    Imagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]

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    May 20, 2015 | Filed under: Payment Reform, State Health Policy Blog
  • State Health Policy Blog

    Okay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]

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  • State Health Policy Blog

    Several primary health care organizations (PHCOs) that I have spoken with in the states and in Australia during my 10-month fellowship have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services. These referral centers can take the load off […]

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    April 27, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • Extending CHIP is an Important First Step, More Work as We Look Ahead!
    State Health Policy Blog

    It’s a great relief to many state officials that Congress has passed an extension of the Children’s Health Insurance Program (CHIP). Last night, the U. S. Senate passed H. R. 2, a bill that already passed the House to repeal and replace the Medicare Sustainable Growth Rate (SGR) and extend federal funding for the CHIP […]

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    April 15, 2015 | Filed under: Children's Health, State Health Policy Blog
  • State Health Policy Blog

    In the throes of headlines that feed either supporters or critics of the Affordable Care Act, it is time to take a look at innovation in progress. Let’s take a look at the states that have established their own state-based exchanges (SBEs)[1] to deliver quality, affordable health care to millions and bolster the march toward […]

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    April 14, 2015 | Filed under: State Exchanges, State Health Policy Blog