- 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
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- 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
Toward Meeting the Needs of Vulnerable Populations: Issues for Policymakers’ Consideration in Integrating a Safety Net into Health Care Reform Implementation
A 2011 Commonwealth Fund poll found that 98 percent of responding national health care opinion leaders believe that traditional safety net providers will still fulfill critical roles after implementation of the ACA. With the support of The Commonwealth Fund, NASHP formed the National Workgroup on Integrating a Safety Net into Health Care Reform Implementation to inform national and state policy development in addressing the roles of safety net providers in implementation of the ACA. This brief describes 10 overarching issues that the National Workgroup identified as ones that policymakers concerned with the safety net will need to consider in order to achieve health care reform goals, particularly for vulnerable populations.January 2012
- January 2012
NASHP convened a June 2011 forum in Denver, Colorado, that brought together state and federal officials, primary care offices and associations and other key partners to learn from Colorado’s efforts and discuss health centers’ roles and challenges in delivery system reform. This report frames key issues, themes and recommendations that emerged from the forum for states and health centers to support effective delivery system models providing integrated care for vulnerable populations.
A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
Integrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients' physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a comprehensive medical home. This report focuses on how Tennessee and Missouri - two states that NASHP works with under our National Cooperative Agreement with the federal Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC) - have approached integration and provides lessons for states seeking to integrate health care delivery systems.
Long Term Services and Supports and Chronic Care Coordination: Policy Advances Enacted by the Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act enacts a variety of initiatives aimed at enhancing long term services and supports (LTSS) and coordination of primary and chronic care for older persons and adults with disabilities. Many of these establish delivery systems demonstrations and Medicaid options that states could adopt to implement state reforms. This NASHP report, supported by THE SCAN Foundation, analyzes the Act’s provisions addressing: 1) National voluntary long term care insurance; 2) Medicaid options and incentives for financing LTSS expansions; 3) Other LTSS provisions; 4) Primary and chronic care coordination; and 5) Nursing home reforms.
Early in 2010, NASHP hosted a webinar that brought together individuals from Massachusetts, Oregon, and Tennessee with experience in collaborating with health centers around Health Information Technology (HIT) activities to discuss ways in which state agencies and federally qualified health centers (FQHCs) are working together to use HIT and health information exchange (HIE) funding opportunities from the American Recovery and Reinvestment Act (ARRA) to achieve mutual goals for health system improvements. This briefing draws from and builds on this webinar to offer an overview of opportunities, explore these states’ experiences, and provide concluding observations. This brief was developed through a National Cooperative Agreement (NCA) sponsored by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC).
California's federally qualified health centers (FQHCs) and "look-alikes" treat more than 2.3 million patients each year. With fewer providers serving Medi-Cal beneficiaries and the uninsured, FQHCs have become an even more vital source of primary care for millions of Californians.
Despite cutbacks in state and local funding, a new report by the National Academy for State Health Policy finds California has an opportunity to improve the performance and sustainability of FQHCs by integrating technology, adapting to changes in health policy, and tapping new sources of funding.
The issue brief covers the following topics:
The medical home is a model of care that is taking root in both public and private payer programs in an effort to improve quality, control costs and increase both patient and provider satisfaction. Since 2006, more than 30 states have been leading efforts to advance medical homes in their Medicaid and Children’s Health Insurance Program (CHIP). Several states are leading multi-payer medical home collaboratives to spread this model in the private sector.
State policies have a strong influence on the ability of Federally Qualified Health Centers (FQHCs) to participate in managed care arrangements. The 2000 Institute of Medicine report, “America’s Health Care Safety Net: Intact but Endangered,” examined the impact of Medicaid managed care on the future integrity and viability of safety net providers, such as community health centers. The report warned federal and state policy makers that managed care policies need to explicitly take into account the unique mission of safety net providers, reflected through fair rates and policies, lest the safety net structure be significantly weakened.
Community Health Centers and Health Reform: Highlights from a National Academy for State Health Policy Forum
The purpose of this paper is to help state policy makers understand how federally qualified health centers (FQHCs) can fit into states’ health care reform plans and help achieve state reform goals related to access, quality, and cost. This topic was the subject of a day-long meeting hosted by the National Academy for State Health Policy (NASHP) on May 5, 2008, in Washington, D.C.