State Health Policy Blog

Last week’s ruling in King v. Burwell affirmed the provision of tax-subsidies through the federally-facilitated marketplace (FFM), a decision which may have affected over 6.4 million Americans currently receiving subsidies in the 34 states that have opted for the FFM model. The ruling has asserted the place of the Affordable Care Act (ACA), with state […]

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  • Vermont Gets its Day in Court on ERISA: Supreme Court Agrees to Hear <em>Gobeille v. Liberty</em> Mutual Next Term
    State Health Policy Blog

    The Supreme Court granted certiorari in Gobeille v. Liberty Mutual, a case brought by Vermont challenging the Second Circuit Court of Appeals’ ruling on ERISA preemption that bars the state from requiring self-insured employer-sponsored health plans to submit claims data to Vermont’s all-payer claims database (APCD). In doing so, the Supreme Court is providing Vermont […]

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    June 29, 2015 | Filed under: Featured, State Health Policy Blog, State Refor(u)m, Vermont
  • State Health Policy Blog

    When it comes to behavioral health systems, many states struggle with the lack of “system.” Services provided are often a compilation of available Medicaid state plan options, with little in the way of unifying structures to ensure coordination of care or linkages to other systems. The Substance Abuse and Mental Health Services Administration (SAMHSA) recently […]

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    June 29, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • State Health Policy Blog

    As we get closer to a decision on King v. Burwell, attention is turning to the 34 states without a state-based exchange.   To date Maine has come closest to enacting a law, in the event of a decision for the plaintiff, with LD 1344, “An Act to Protect Maine Consumers in the Individual Health Insurance […]

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    June 16, 2015 | Filed under: State Health Policy Blog
  • Are We There Yet? An Update on Gobeille v. Liberty Mutual
    State Health Policy Blog

    Summer is the season of the great American road trip, and as such the clarion call from back seats everywhere– Are we there yet? – will soon ring out across the nation. But, this summer for those in Vermont the call has a different meaning. In a May NASHP Health Policy Blog post, as the […]

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  • State Health Policy Blog

    In my previous “Walkabout Medical Home” blog posts I have highlighted the work Primary Health Care Organizations (PHCOs) in Australia (Medicare Locals) have done to connect people with mild to moderate mental health diagnoses to primary care or community-based services. This blog highlights the innovative work being done stateside by Oregon’s Health Share. Health Share […]

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    May 28, 2015 | Filed under: Behavioral Health, Oregon, State Health Policy Blog
  • State Health Policy Blog

    What happens when state health programs use separate data systems to serve the same population, such as mothers and children? State policymakers know that when those data systems do not “talk” to one another, states may waste resources on duplicative data entry and system maintenance; providers and state agencies may struggle to access information important […]

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    May 22, 2015 | Filed under: Children's Health, Health IT, State Health Policy Blog
  • State Health Policy Blog

    State policymakers have a critical role to play in how the Mental Health Parity and Addictions Equity Act (MHPAEA) is operationalized in state programs, including Medicaid managed care organizations, alternative benefit plans, and the Children’s Health Insurance Program (CHIP). Now that CMS has released long-awaited proposed rules on implementation of the MHPAEA in these programs, […]

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    May 20, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • State Health Policy Blog

    Imagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]

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    May 20, 2015 | Filed under: Payment Reform, State Health Policy Blog
  • State Health Policy Blog

    Okay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]

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