Publications

On 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 […]

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  • Publications

    Individuals 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 […]

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    November 10, 2015 | Filed under: Behavioral Health, Publications
  • Publications

    Medicaid programs nationwide are mandated to use the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit to improve the health of low-income children with special physical, emotional, and developmental health care needs. This benefit supports children and youth with special health care needs (CYSHCN) by ensuring they receive individualized health care when they need it—provided those services are deemed medically […]

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    October 13, 2015 | Filed under: Publications
  • Publications

    The 17 states, and the District of Columbia, electing to operate a State-based Marketplace (SBM) are subject to comprehensive oversight from a varied set of federal and state agencies, committees, and regulators. Ongoing reporting, site visits, and auditing spans the full range of SBM functions, including eligibility and enrollment, data security, consumer privacy, financial transactions, […]

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    September 29, 2015 | Filed under: Publications
  • Publications

    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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    September 21, 2015 | Filed under: Children's Health, Health IT, Publications
  • Publications

    States and the federal government are investing heavily in state demonstrations to reform the health care delivery system, and policymakers need data to assess the demonstrations’ effectiveness and justify these investments to state legislators, Congress, and other stakeholders. Gauging the impact of state demonstrations through monitoring and evaluation requires time and effort from both state and […]

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    August 17, 2015 | Filed under: Publications
  • Enhancing Oral Health Access Through Safety Net Partnerships: A Primer and Resource Guide for Medicaid Agencies
    Publications

    The safety net provides crucial access points for vulnerable and low-income populations in need of dental services, including Medicaid and Children’s Health Insurance Program (CHIP) enrollees; however, large unmet need for dental services persists among these populations. Not only would increased access to dental services benefit patients, but also the opportunity to provide more preventive […]

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    August 4, 2015 | Filed under: Oral Health, Publications
  • Publications

    Leaders Discuss Key Themes and Next Steps for State Policymakers The National Academy for State Health Policy hosted an off-the-record, state-only summit to discuss the road ahead for state health reforms after the Supreme Court’s decision on King v. Burwell. The event, supported by The Commonwealth Fund, featured a panel of leading thinkers on state […]

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    July 28, 2015 | Filed under: Publications
  • Publications

    This brief shares strategies for finding, enrolling, and retaining children in health coverage, which other states can implement relatively quickly and inexpensively. Many of these promising practices are the direct result of the strong working relationships between state officials and advocates and coalesce around several themes: Targeting outreach efforts to specific populations. Engaging and educating […]

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    July 28, 2015 | Filed under: Children's Health, Publications
  • Publications

    One of the central elements of the Affordable Care Act (ACA) is to establish “one-stop shopping” through health insurance marketplaces allowing consumers to find and access affordable, high-quality health coverage either through private health insurance, and the subsidies available for those who qualify, or through Medicaid. The ACA and related regulations define a spectrum of marketplace […]

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