Publications

The Patient Protection and Affordable Care Act (ACA) included new eligibility and enrollment requirements, which have presented states with significant implementation opportunities and challenges. Although states had choices about whether to host a health insurance exchange or expand Medicaid, the ACA required all states to make major changes to Medicaid eligibility policy, including adding mandatory […]

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  • Publications

    Oral health is an important part of overall health, however, access to dental coverage for low-income adults remains a challenge, particularly since these benefits are optional for state Medicaid programs. This brief summarizes policy lessons from seven states (California, Colorado, Illinois, Iowa, Massachusetts, Virginia, and Washington) that have recently added, reinstated, or enhanced their Medicaid […]

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    July 10, 2015 | Filed under: Oral Health, Publications
  • Publications

    The Supreme Court’s ruling in King v. Burwell could have a significant impact on states. If the Supreme Court finds for the petitioners in King v. Burwell, states with Federally-Facilitated Marketplaces (FFMs), and possibly State Partnership Marketplaces (SPMs), may have to adopt a new model that qualifies as a State-Based Marketplace (SBM) to maintain access to the […]

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    June 16, 2015 | Filed under: New Mexico, Publications
  • Publications

    Several states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]

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    June 1, 2015 | Filed under: Delivery System Reform, Medicaid, Publications
  • Publications

    Oral health is linked to overall health, and mounting evidence suggests that addressing oral health can help states improve patient care, improve population health, and reduce costs. This brief, supported by the Washington Dental Service Foundation, explores how oral health intersects with diabetes, maternal and child health, and avoidable emergency department use. State policies to leverage […]

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    April 20, 2015 | Filed under: Oral Health, Publications
  • Publications

    Medical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening […]

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    April 7, 2015 | Filed under: Primary Care and Medical Homes, Publications
  • Publications

    Governors hold a unique capacity to help promote a culture of health using the tools of their state governments in purchasing, regulating, and policymaking. Governors in 48 states made State of the State or inaugural addresses in 2015, laying out their priorities for the year ahead. In these addresses, 40 governors referenced health issues such […]

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    March 25, 2015 | Filed under: Population & Public Health, Publications
  • Publications

    Health disparities persist in the United States, with disadvantaged groups disproportionately bearing the burden of poor health outcomes and shortened lifespans. States cannot effectively control healthcare costs or improve quality without addressing health disparities. Fortunately, state and federal policymakers can work together to build an equitable health care delivery system by aligning payment models, creating […]

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    March 23, 2015 | Filed under: Delivery System Reform, Publications
  • Publications

    In this new issue brief, NASHP identifies considerations and policy options for states pending the outcome of King v. Burwell. A pro-King decision might end federal subsidies provided to individuals in the 34 states that used the Federally-Facilitated Marketplace to enroll in health insurance coverage, impacting about 7.3 million people. Although the outcome of the case is uncertain, states may want to […]

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    March 17, 2015 | Filed under: Eligibility and Enrollment, Publications, State Exchanges
  • Publications

    Governors across the nation have laid out their priorities for the coming year as part of their State of the State addresses. NASHP summarizes the 44 addresses given to date. Seven governors discussed health insurance exchanges, 13 health care costs, and nine addressed issues related to a culture of health. Individual governors also addressed issues […]

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    February 17, 2015 | Filed under: Publications