State Health Policy Blog

Why Is Affordable Care Act Marketplace Enrollment Declining?

Early reports from the Centers for Medicaid & Medicare Services indicate 2019 enrollment in the federally facilitated marketplace (FFM) could be lower than 2018, which would continue a declining enrollment trend first seen in 2017, which prompts the question – why? As this chart shows, policies and investment in outreach and application assistance for consumers […]

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  • New Federal Initiatives Help States Expand Support for Children and Families Affected by Substance Use
    State Health Policy Blog

    In the recent election, Republican and Democratic gubernatorial candidates offered strategies to address the opioid epidemic and meet the needs of children and families affected by substance use disorder (SUD). Incoming and incumbent executives will have new federal resources – including the new Maternal Opioid Misuse (MOM) and Integrated Care for Kids (InCK) models and […]

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    December 4, 2018 | Filed under: Front Page, State Health Policy Blog
  • State Health Policy Blog

    For years, states have used managed care delivery systems to help control costs and improve health care and outcomes for adult Medicaid beneficiaries with complex health care needs. Now, more than a dozen states are using managed care to provide long-term services and supports (LTSS) to children and youth with special health care needs (CYSHCN). […]

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    December 3, 2018 | Filed under: State Health Policy Blog
  • Q&A: How Rhode Island Tackles Social Determinants of Health through its Accountable Entity Model
    State Health Policy Blog

    Across the country, states are launching new payment models that reward quality, promote care integration, improve access, and address the social determinants of health (SDOH) in an effort to improve population health. One of these ground-breaking initiatives is Rhode Island’s Accountable Entity (AE) Program, created to improve the health of Rhode Islanders enrolled in Medicaid […]

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    November 27, 2018 | Filed under: Front Page, Rhode Island, State Health Policy Blog
  • Six Slides to Help New Governors Improve Health
    State Health Policy Blog

    Governors across the country want their residents to live long, healthy, and productive lives. Residents’ life conditions — such as their neighborhoods, education, and income — make up 80 percent of the factors affecting their health, yet most health spending goes primarily to clinical care (Slide 2). As stewards of public resources and bound by […]

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    November 27, 2018 | Filed under: Front Page, State Health Policy Blog
  • State Health Officials Concerned about the Proposed Public Charge Rule
    State Health Policy Blog

    State officials are concerned that the proposed federal public charge rule could increase the uninsured rate, which would have a negative financial impact and increase health programs’ administrative burden. The Department of Homeland Security (DHS) has proposed significant changes to public charge determination policies that would affect the immigration status of certain individuals. The concept […]

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    November 20, 2018 | Filed under: Front Page, State Health Policy Blog
  • State Health Policy Blog

    The Centers for Medicare & Medicaid Services (CMS) has proposed a new regulation that gives states more flexibility to design and implement Medicaid managed care programs for Medicaid and Children’s Health Insurance Program (CHIP) enrollees. The proposal aligns with the Trump administration’s goal to reduce regulatory requirements imposed on states. The majority of the proposed […]

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    November 20, 2018 | Filed under: Front Page, State Health Policy Blog
  • State Health Policy Blog

    The National Academy for State Health Policy (NASHP) is partnering with Mathematica Policy Research to help states increase transparency and accountability to address rising prescription drug prices. This state-directed partnership will support the alignment of data collection and enable cross-state analyses. Currently, California, Oregon, Nevada, Connecticut, and Vermont require manufacturers to report on price increases […]

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    November 20, 2018 | Filed under: Front Page, Rx, State Health Policy Blog, Transparency
  • States Add Coverage Mandates to Cover Infertility Treatment following Cancer Treatments
    State Health Policy Blog

    Under the Affordable Care Act (ACA), individual and small group plans must cover essential health benefits, such as pre-existing conditions. However, states can go beyond the ACA’s requirements and mandate coverage for other conditions, such as infertility or autism, though they must cover those additional costs. A new wave of state mandates have expanded what […]

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    November 20, 2018 | Filed under: Front Page, State Health Policy Blog
  • New NASHP Tool Identifies Key Quality Measures for Children with Special Health Care Needs
    State Health Policy Blog

    Quality measurement is a critical component of state health programs, including Medicaid and State Title V CYSHCN programs that serve children and youth with special health care needs (CYSHCN). While quality measurement for children continues to lag behind that of adults, quality measurement efforts for children overall, and CYSHCN in particular, are gaining greater traction […]

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    November 13, 2018 | Filed under: Front Page, State Health Policy Blog