• How the Federal Government Can Help States Reduce Drug Costs

    State Medicaid programs, which face rapidly rising drug costs, have few bargaining chips to use when negotiating lower drug costs, due in part to decades-old federal rules that limit their bargaining power. NASHP, with support of The Commonwealth Fund, recently sat down with state and federal policymakers to identify policy and rule changes that could enhance states’ purchasing power. Their recommendations include modernizing the current rebate program, testing new approaches to price negotiation and formulary management, transparent audits to ensure fair pricing for states, and more oversight of pharmacy benefit manager operations. Read more. NASHP Executive Director Trish Riley also wrote about this topic in a recent Health Affairs blog.

  • Considering a State Insurance Mandate? Here’s What State Policymakers Need to Know

    With Congress eliminating the individual insurance mandate, states are considering implementing their own to stabilize their marketplaces. NASHP recently held a webinar featuring officials from Massachusetts, who explained how they implemented their successful mandate 11 years ago. Maryland officials, who have proposed their own legislation to create an enrollment mandate, also described their approach. Listen to the webinar, or read our blog to find out what policymakers need to know.

  • State-Based Insurance Marketplaces Experience Enrollment Growth, Despite Federal Roadblocks

    While national enrollment in Affordable Care Act (ACA) marketplaces fell moderately by 3.7 percent over 2017 sign-ups, enrollment in states that have more control over their insurance marketplaces grew by 0.2 percent. State control, carefully calculated outreach, and responsiveness to changing markets were key factors in enrollment increases in the 16 states and Washington, DC. Read more.

  • Learn the Latest in 2018 State Legislative Action to Control Rx Drug Costs

    As the 2018 state legislative session begins, NASHP is continuing to track state legislative action to control pharmaceutical costs. Last year, states introduced dozens of bills to curb costs, and the trend is continuing. NASHP’s Center for State Rx Drug Costs has produced a series of maps and charts summarizing state legislative themes and actions. NASHP will continue to report on and track this legislation; visit the page often for updated information.

  • Children’s Health Insurance Resources

    Through Medicaid and the Children’s Health Insurance Program (CHIP), states and the nation have made substantial progress in covering children and improving their access to quality health care supporting healthy growth and development. With ongoing funding from the David and Lucile Packard Foundation, NASHP has supported, analyzed, and reported on state efforts to extend children’s coverage since the CHIP program’s inception, building on our longstanding work on Medicaid. NASHP supports active state-to-state exchange and collaborative learning by regularly convening state officials working on children’s coverage issues. View resources here.


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