State Health Policy Blog

Self-insured employer participation in multi-payer payment reform is critical for providers to receive consistent messages across payers—an important step toward fostering widespread improvement. A recent study echoes the experience of many state-led multi-payer initiatives experiencing difficulty in engaging self-insured employers. This study looked at reforms in four states: Arkansas, Oregon, Minnesota, Vermont. Only two, Arkansas […]

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  • State Health Policy Blog

    As we head back to court, what does a challenge to the ACA mean for the country’s Health Insurance Marketplaces? Over the past five years, the Affordable Care Act (ACA) has withstood challenges to the constitutionality of its insurance mandate, Medicaid expansion, birth control-related provisions, and questions about who can receive premium reducing tax credits. […]

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    February 16, 2016 | Filed under: Front Page, State Exchanges, State Health Policy Blog
  • State Health Policy Blog

    In late January, the U.S. Preventive Services Task Force released a recommendation that clinicians screen the general adult population, including pregnant and postpartum women, for depression. Depression screening for pregnant and postpartum women is not a new idea. The Medicaid program, as a major payer of perinatal health care covering 48 percent of all U.S. […]

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    February 5, 2016 | Filed under: Front Page, Population Health, State Health Policy Blog
  • State Health Policy Blog

    We recently published a brief on efforts underway in Maryland, Massachusetts, and Vermont to develop and implement global budgeting. Last week, Vermont took the next step, releasing an overview of its proposal to the Centers for Medicare & Medicaid Services (CMS) for an all-payer model. Vermont’s approach distinguishes itself by setting spending targets for almost […]

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    February 2, 2016 | Filed under: Front Page, Payment Reform, State Health Policy Blog, Vermont
  • State Health Policy Blog

    2015 has drawn to a close, and with it deadlines for consumers to have coverage on January 1. The Department of Health and Human Services has recently released an enrollment update, citing that over 11.2 million individuals have enrolled in plans through the marketplace, 2.7 million of which have come through the 13 states operating […]

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    January 14, 2016 | Filed under: All, Front Page, State Exchanges, State Health Policy Blog
  • State Health Policy Blog

    With growing recognition that the health care delivery system alone cannot improve population health, there is increasing movement at the state and local levels to create new relationships between systems that focus on traditional health care delivery and those that extend to work, housing, family, and community life. CMMI recently announced an initiative to test […]

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  • State Health Policy Blog

    States that have implemented managed care in their Medicaid programs face the complex and time consuming task of reconciling managed care payments to federally qualified health centers (FQHCs) to ensure they are at, or above, their Prospective Payment System (PPS) rates. Several senior Medicaid officials raised this issue during a recent NASHP meeting on the […]

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    January 12, 2016 | Filed under: Front Page, Kentucky, Medicaid, State Health Policy Blog
  • State Health Policy Blog

    As 2015 comes to a close, Medicaid expansion activity in states has not slowed down. Currently, 30 states and the District of Columbia have expanded Medicaid, and six of these states have chosen to pursue waivers to implement alternative versions of expansion. As the new year approaches, a number of additional states are considering options […]

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  • State Health Policy Blog

    NASHP has long been a key health policy go-to for states, and 2015 was no different. It’s hard to believe it’s only been a year since I rejoined the organization. We began 2015 hearing from governors across the country calling for progress in reducing health care cost growth, discussing state based exchanges, improving behavioral health […]

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    December 22, 2015 | Filed under: Front Page, State Health Policy Blog
  • State Health Policy Blog

    Will there be state innovation under Section 1332 Waivers? Since the ACA was enacted in 2010, a number of states have been looking at the law’s State Innovation Waiver, also known as Section 1332, as a way to reimagine the ACA’s approach to health insurance coverage. Apart from final rules issued in 2012 that focused […]

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    December 15, 2015 | Filed under: All, Front Page, State Health Policy Blog