- 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
-
Potential Roles for Safety Net Providers in Supporting Continuity Across Medicaid and Health Insurance Exchanges
One challenge states face in implementing the Affordable Care Act is smoothing transitions for individuals who may churn between Medicaid and health insurance exchanges. Many people who will become eligible for coverage already interact with safety net providers. This report explores potential roles safety net providers could play in bridging gaps in coverage and care between Medicaid and exchanges. The report was made possible through a cooperative agreement with the Health Resources and Services Administration. A companion webinar, Potential Roles for Safety Net Providers in Supporting Continuity Across Medicaid and Health Insurance Exchanges, presents findings from the report and related perspectives from state and local officials.
September 2012» -
Consumer Assistance in the Digital Age: New Tools to Help Enroll People in Medicaid, CHIP, and Exchanges
The Maximizing Enrollment report "Consumer Assistance in the Digital Age: New Tools to Help Enroll People in Medicaid, CHIP, and Exchanges," focuses on the various ways states can help customers connect to coverage and explores how current consumer assistance will change as new tools are deployed and technology transforms the enrollment process. The paper draws on the experience of states that have advanced children's coverage and pioneered the IT system improvements that inspired the ACA's vision for technology-enabled, consumer-friendly enrollment. Where state use of new technology tools is limited, such as online chat, the paper offers best practices in customer service management from other industries.
July 2012» -
Developing and Implementing the Section 2703 Health Home State Option: State Strategies to Address Key Issues
The health home state option provides an enticing opportunity for states to better coordinate care for Medicaid enrollees with serious mental illness or chronic health issues. This NASHP report identifies strategies from the first four states with approved state plan amendments (MO, NY, OR, and RI) to address five key considerations that states will likely face during the development and implementation of the health home option. The five issues discussed in this paper are: coordination with existing programs, financing/payment, integrating behavioral and physical health care, sharing health data, and evaluation considerations. The Commonwealth Fund provided support for the development of this report.
July 2012» -
Medicaid Financing of Early Childhood Home Visiting Programs: Options, Opportunities, and Challenges
The purchasing power of Medicaid can be a significant policy lever for promoting early childhood home visiting program quality and improving maternal and child health outcomes. With support from the Pew Home Visiting Campaign, NASHP conducted a literature review and environmental scan of state policies and practices, and facilitated a national expert panel to identify mechanisms for supporting home visiting services through Medicaid. This report explores the variety of Medicaid financing mechanisms states are currently using to support home visiting services, other potential financing mechanisms that could be used, and considerations for states exploring each of these financing mechanisms.
June 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» -
NASHP Report: Health IT, Quality Reporting and Medicaid Well Child Benefits: An Assessment of Progress and Potential in the District of Columbia
Recent developments indicate the emergence of a national framework for quality oversight and improvement in children’s health. Concurrently, investment in health information technology and exchange is creating state HIT/HIE infrastructure based on EHR-driven clinical data capacity. This report, commissioned by the United States District Court for the District of Columbia, details the opportunities available to the District of Columbia – and potentially other states as well - to use this emerging quality framework and HIT/HIE infrastructure to enhance the quality and oversight of Medicaid EPSDT benefits.
July 2011» -
Developing Federally Qualified Health Centers into Community Networks to Improve State Primary Care Delivery Systems
By fostering connections between federally qualified health centers (FQHCs) and other private primary care providers, states may be able to connect Medicaid beneficiaries with services needed to help them manage their health and reduce costly visits to hospitals. FQHCs’ mandate to provide a comprehensive scope of primary and preventive health care and support services, coupled with access to federal funds, gives them expertise and resources that might be leveraged in collaborative relationships with states and private practices. FQHCs may find many advantages in these partnerships as well.
May 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 -
Medicaid's Role in the Health Benefit Exchange: A Road Map for States
State Medicaid programs are well positioned to serve multiple roles in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). Looking ahead to 2014, Medicaid will be both an option in the continuum of health insurance coverage and an essential partner in developing, governing, and operating each state’s new health benefit exchange. This paper highlights opportunities for states to support and expand Medicaid’s current role in planning new state Exchanges in eligibility, enrollment and outreach; health plan standards and requirements; benefit package design; and infrastructure: governance, operations and finance.
March 2011»
