Medicaid

Although 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 […]

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  • NASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]

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  • This chart provides eligibility levels for states’ coverage of services for pregnant women under Medicaid (Title XIX of the Social Security Act) and the Children’s Health Insurance Program (Title XXI of the Social Security Act) in 2013 and 2014. Coverage levels for 2014 include states’ modified adjusted gross income (MAGI)-converted eligibility levels. Every state provides […]

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    June 3, 2016 | Filed under: Charts, Medicaid, Medicaid Benefits, National
  • Publications

    States are testing a myriad of models that strive to achieve the Triple Aim objectives of improved care, reduced health care costs, and better health. Though several statewide health care delivery and payment system reforms have been shown to help slow the growth of health care expenditures and improve methods for delivering health care, taken […]

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  • The newly launched National Academy for State Health Policy (NASHP) Pharmacy Cost Work Group will look beyond the strategies currently used in states to identify and develop new ideas which address the growing problem of Rx costs. The group will look broadly at states as purchasers, regulators, policymakers, and investors to develop the next generation […]

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  • Publications

    Facilitating a robust system of communication and coordination between medical and community service providers, an important goal of many health care delivery system reforms, is challenging for many states. With a variety of federal and state agencies sharing responsibility for child health and development, creating effective linkages among services is critical to optimizing outcomes. This […]

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    May 9, 2016 | Filed under: Front Page, Medicaid, Publications
  • Strategies to Increase Access to Long-Acting Reversible Contraception (LARC) in Medicaid
    Publications

    This issue brief, developed by NASHP and NICHQ, details the use of LARC in preventing unplanned pregnancies, the current availability and education for women, barriers to prescribing LARC, and potential Medicaid reimbursement models to improve LARC access. The issue brief was developed as part of the Collaborative Improvement and Innovation Network to Reduce Infant Mortality […]

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  • State Health Policy Blog

    Last week the Centers for Medicare and Medicaid Services (CMS) released its long-awaited final rule outlining requirements for managed care organizations in Medicaid and Children’s Health Insurance Programs (CHIP). Preliminary NASHP analyses indicate that the final rule provides states with significant flexibility in making changes designed to modernize these federal programs as part of health […]

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  • Publications

    A growing number of states are administering Medicaid managed care contracts that include both medical and dental services. In 2015, Kentucky identified dental services as one of seven key areas where the state wanted to achieve measurable improvement in its Medicaid managed care contracts. This case study examines the history of dental managed care in […]

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    April 29, 2016 | Filed under: Front Page, Kentucky, Medicaid, Oral Health, Publications
  • State Health Policy Blog

    On April 25, the Centers for Medicaid and Medicare Services (CMS) released a long-awaited final rule that updates the regulations for managed care organizations in the Medicaid and Children’s Health Insurance Programs (CHIP). These new requirements represent the first major updates to Medicaid and CHIP managed care since 2002. In the intervening years, the percentage […]

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