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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  • 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
  • Publications

    Federal funding for the Children’s Health Insurance Program (CHIP) is scheduled to expire on September 30, 2015, unless Congress acts. Many state CHIP directors have begun to consider the steps needed should funding remain uncertain or expire. In January 2015, the National Academy for State Health Policy (NASHP) surveyed CHIP directors to better understand recent […]

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    February 17, 2015 | Filed under: Children's Health, Publications
  • Publications

    FEBRUARY 2014 Paving the Way to Simpler: Experience from Maximizing Enrollment States in Streamlining Eligibility and Enrollment Early State Experiences with the First Open Enrollment Under the Affordable Care Act Keerti Kanchinadam, Policy Analyst   DECEMBER 2013 Managing Program Change: Experience From Maximizing Enrollment States in Leadership, Culture Change, Coordination, and Data Maureen Hensley-Quinn, Program […]

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    February 10, 2015 | Filed under: Eligibility and Enrollment, Publications
  • Publications

    Part 6 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. CareFirst, a commercial insurer serving Maryland, northern Virginia, and the District of Columbia, utilizes local nurse care coordinators to support primary care providers within its patient-centered medical home program. […]

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    February 2, 2015 | Filed under: District of Columbia, Maryland, Publications, Virginia