State Health Policy Blog

California Creates a State Surgeon General Position

California Gov. Gavin Newsom unveiled several health care initiatives in his inaugural address last week, including a well-publicized plan to lower drug costs using public purchasing power. But a less-publicized action – establishing a state surgeon general post – to help tackle the social determinants of health and health equity, presents a significant opportunity for […]

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  • State Health Policy Blog
    As Drug Prices Rise, Oklahoma’s Medicaid Agency Advances Alternative Payment Models

    As Drug Prices Rise, Oklahoma’s Medicaid Agency Advances Alternative Payment Models

    Escalating drug prices are forcing state Medicaid agencies to explore new payment models. According to Burl Beasley, director of Pharmacy Services for Oklahoma’s Medicaid program, older Medicaid payment strategies, such as negotiating enhanced rebates and multi-state purchase agreements, are not keeping pace with rising drug expenditures. Beasley cited the strain prescription drug costs were putting […]

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    December 17, 2018 | Filed under: Drug Pricing, Front Page, State Health Policy Blog

  • State Health Policy Blog
    Why Is Affordable Care Act Marketplace Enrollment Declining?

    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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    December 10, 2018 | Filed under: Front Page, State Health Policy Blog

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    New Federal Initiatives Help States Expand Support for Children and Families Affected by Substance Use

    New Federal Initiatives Help States Expand Support for Children and Families Affected by Substance Use

    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

    How States Provide Long-Term Services and Supports to Children in Medicaid Managed Care

    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

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    Q&A: How Rhode Island Tackles Social Determinants of Health through its Accountable Entity Model

    Q&A: How Rhode Island Tackles Social Determinants of Health through its Accountable Entity Model

    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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  • State Health Policy Blog
    Six Slides to Help New Governors Improve Health

    Six Slides to Help New Governors Improve Health

    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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  • State Health Policy Blog
    State Health Officials Concerned about the Proposed Public Charge Rule

    State Health Officials Concerned about the Proposed Public Charge Rule

    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

    Medicaid Managed Care Proposed Rule Would Give States More Flexibility

    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

    NASHP Partners with Mathematica to Strengthen State Rx Transparency Laws

    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