State Health Policy Blog

Last week, six state-based marketplace directors (CA, CT, HI, MA, MN, and OR) testified before the U.S. House of Representatives Energy and Commerce Committee’s Oversight and Investigations Subcommittee, where they faced tough questions on their marketplace performance, impact and future prospects. The hearing was notable for its intensive focus on operations, signaling a new emphasis […]

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  • State Health Policy Blog

    Money Talks: How SIM Round 1 States Are Reducing Costs

    As U.S. health care spending continues to grow every year, the State Innovation Model (SIM), a first-of-its-kind grant that provides a large federal investment to state-led health care reform, aims to address the Triple Aim to improve care, improve population health, and reduce health care costs. Since 2013, six Round 1 test states have been […]

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    September 29, 2015 | Filed under: State Health Policy Blog

  • State Health Policy Blog

    Oregon’s Bridge to Value-Based Payments for Community Health Centers: A Win for Medicaid, Providers, & Patients

    States are developing new ways to pay Medicaid providers based on quality and efficiency over number of visits. However, these payment options can present challenges for states in integrating safety net providers into their efforts. In Oregon, Medicaid and the state’s Primary Care Association (PCA) have embarked on an alternative payment model that is breaking […]

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    September 14, 2015 | Filed under: Medicaid, State Health Policy Blog

  • State Health Policy Blog

    Is Housing Good Medicine for States?

    Recent media reports have featured chronically homeless individuals who have improved their health and reduced their emergency department use thanks to one intervention:supportive housing. According to one federal agency, supportive housing is “an approach to subsidized housing that provides voluntary services for people with disabilities and chronic conditions to promote long-term stability, recovery and improved health.” […]

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  • State Health Policy Blog

    Five Strategies for More Effective Assessments of State Demonstrations

    What are state and federal policymakers looking for when they invest[i] in state health care demonstration projects? Results. Policymakers need evaluation data to justify investments to legislators and other stakeholders, and to accurately assess the effectiveness of the demonstrations. However, gauging the impact of state demonstrations through monitoring and evaluation requires a great deal of […]

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    August 18, 2015 | Filed under: State Health Policy Blog

  • State Health Policy Blog

    Using the Bright Futures Guidelines to Promote Preventive Care for Children

    States have made great strides in enrolling and retaining children in health coverage over the past several years. However, once enrolled, children do not always access screenings and preventive services. A missed well-child visit or a skipped developmental screening can result in undiagnosed and untreated medical issues that when discovered can be costly to treat. […]

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    August 6, 2015 | Filed under: Children's Health, State Health Policy Blog

  • State Health Policy Blog

    What Governors Are Saying About King v. Burwell

    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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    June 30, 2015 | Filed under: Charts, State Exchanges, State Health Policy Blog

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

    Vermont Gets its Day in Court on ERISA: Supreme Court Agrees to Hear Gobeille v. Liberty Mutual Next Term

    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

    Certified Community Behavioral Health Clinics:  What’s in it for states?

    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

    Maine Takes Steps Towards Becoming First State to Legislate Back-up Plan for King v. Burwell

    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