- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
-
How CHIP Can Help Meet Child Specific Requirements and Needs in the Exchange: Considerations for Policymakers
There are compelling reasons to consider how the Children’s Health Insurance Program (CHIP) can be used as a resource to meet the child-specific exchange requirements of the Affordable Care Act (ACA). With support from the David and Lucile Packard Foundation, NASHP analyzed federal statutes, regulations, and guidance for CHIP and the exchange, and interviewed state and national experts to inform this work. The resulting brief offers options for using CHIP as a tool to inform exchange design and the companion piece compares selected CHIP and exchange requirements to highlight their alignment.
Issue Brief: Considerations for Policymakers
Compendium Document: Selected CHIP and Exchange Requirements: Alignment and ConsiderationsMarch 2013 -
Keeping Children's Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children's Health Insurance Leaders
With passage of the Affordable Care Act, the stakes for children’s coverage perhaps have never been higher. Children potentially have much to gain in coverage for themselves and for their parents. However, they also have much to lose in shifting attention, and in unintended consequences of reforms focused on adults. To examine the options for keeping children’s coverage strong in future, NASHP initiated discussions with CHIP program directors. This brief highlights themes from those discussions, focusing on key considerations for children’s coverage that NASHP and most CHIP directors believe policymakers should take into account in making decisions that may affect children’s coverage.
May 2012» -
Public Insurance Programs and Children with Special Health Care Needs, A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program
This tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as a result of health care reform and some options to help readers think about opportunities to improve services for CSHCN through communication and collaboration with Medicaid and CHIP staff. The tutorial starts with an overview of how definitions of CSHCN may vary by agency or program, followed by eight major topic areas and then recommendations for steps Title V programs can take to build successful partnerships with public insurance programs.
February 2012» -
Building Medical Homes: Lessons from Eight States with Emerging Programs
States are seeking to strengthen primary care through the medical home model to achieve better outcomes and lower costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of medical home programs. The states have drawn on both well-tested approaches and innovative tactics to help primary care providers adopt the model. As a whole, their experiences demonstrate that states can play critical roles in convening stakeholders, helping practices improve performance, and addressing antitrust concerns that arise when multiple payers collaborate.
December 2011» -
CHIP Dental Coverage: An Examination of State Oral Health Benefit Changes as a Result of CHIPRA
Oral health remains a serious concern for the health and well being of children, especially those who are low-income. However, with the passage of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), all children enrolled in the Children’s Health Insurance Program (CHIP) will have a base level of dental coverage included in their benefit package. This brief provides a summary of the CHIP dental benefit changes under CHIPRA and examines the states that had voluntarily sought federal approval of current benefits, or made changes to their CHIP dental benefits as of September 2011.
Additionally, NASHP wrote a blog post about the dental brief and CHIPRA dental benefit, which is on the Georgetown Center for Children and Families' Say Ahhh! blog.
Blog: Children's Dental Health
By Leigha BasiniDecember 2011» -
The Role of Children's Coverage Programs in a Changing Health Care Landscape: EPSDT, CHIP, and Health Care Reform
With the support of The Commonwealth Fund and the David and Lucile Packard Foundation, in late 2010 NASHP convened an invitational leadership forum on the role of children’s coverage programs in a changing health care landscape. Participants included representatives from state Medicaid EPSDT and CHIP programs, Maternal and Child Health Title V, CMS and other children's health care experts. This brief captures the themes and explores the opportunities and challenges identified in that meeting to lay out a vision for how EPSDT and CHIP can work together to improve health coverage for children in the context of health care reform.
July 2011» -
Medicaid and CHIP Children's Healthcare Quality Measures: What States Use and What They Want
This article, written by NASHP Managing Director Catherine Hess and former NASHP Program Director Sarah deLone, draws from responses to NASHP’s Charting CHIP IV survey, supported by the David and Lucile Packard Foundation, and from analytic work supported by the Agency for Healthcare Research and Quality (AHRQ) to inform AHRQ’s Children’s Healthcare Quality Measures Subcommittee. The article is published in the CHIPRA Supplement of Academic Pediatrics (Volume 11, No. 3S, May-June 2011).
Medicaid and CHIP Children's Healthcare Quality Measures: What States Use and What They Want
May 2011 -
What a Difference a Dollar Makes: Affordability Lessons From Children's Coverage Programs
States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges and other health insurance programs. This brief examines the affordability of current children's coverage options and coverage under ACA. It also draws on lessons from the Children's Health Insurance Program, which can serve as a model for states as they implement affordability provisions in ACA.
April 2011» -
Charting CHIP IV: A Report on State Children’s Health Insurance Programs
Charting CHIP IV: A Report on State Children’s Health Insurance Programs Prior to Major Federal Policy Changes in 2009 and 2010 is the fourth in a series published by the National Academy for State Health Policy (NASHP) since 1998. The report paints a portrait of state Children’s Health Insurance Programs (CHIP) as they stood in mid 2008, roughly a decade after the federal CHIP program was enacted, a half year before CHIP was reauthorized, and just short of two years before national health reform legislation was enacted. This report examines state program characteristics and policies for both Medicaid expansion (M-CHIP) and separate (S-CHIP) programs in a range of areas, from program structure, to eligibility, outreach and enrollment, to benefits and cost sharing, to service delivery, access and quality.
Download here: Charting CHIP IV:A Report on State Children’s Health Insurance Programs
January 2011 -
Making Connections: Medicaid, CHIP, and Title V Working Together on State Medical Home Initiatives
The medical home model–an approach to offering excellent primary care–is gaining momentum. A wide range of stakeholders are now embracing medical homes, and the Affordable Care Act has dedicated resources to developing and spreading the model. In this context, states have been leaders in building medical homes – especially for vulnerable populations. Several of the most promising state medical home initiatives have entailed interagency collaboration. This report details best practices and policy considerations for collaborative medical home building in four areas: laying foundations for partnership, and then working together to engage patients and families, engage health care providers and practices, and build strong systems of care.
September 2010
