Blog Posts

Under the authority of Section 1115 demonstrations, some states have implemented Delivery System Reform Incentive Payment (DSRIP) programs to improve care, improve health, and lower costs by incentivizing and supporting care delivery redesign that transitions away from episodic treatment toward prevention and management of health and wellness for low-income populations. DSRIP programs restructure Medicaid funding […]

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  • State Health Policy Blog

    How Massachusetts SHOP-ed for a new Small Group Marketplace

    Earlier this spring, the Massachusetts Health Connector (Health Connector), the health insurance exchange of the commonwealth, announced that it would be joining Washington, D.C.’s, exchange, DC Health Link, in a first-of-its-kind collaboration to develop a joint platform for their small business exchanges. This partnership is an exciting example of the collaborative possibilities for states. By […]

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  • State Health Policy Blog

    Should Maine’s Invisible High Risk Pool Law be the Model to Address Market Stability Nationally?

    The urgency to stabilize the individual markets is palpable in the states. Insurers will begin filing preliminary rates for 2018 next month and are developing those rates in a period of uncertainty. Will cost sharing reductions continue? Will there be some help to stabilize the market, calm jittery insurers and assure that consumers in every […]

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  • State Health Policy Blog

    The New Substance Use Disorder Confidentiality Rules: A Work in Progress

    The Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued a highly anticipated update to 42 CFR Part 2, the regulation that governs sharing patient information by federally-designated substance use disorder (SUD) providers. The rule is timely: SUD has become a major cost driver, and many state policymakers are focused on the integration of […]

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  • State Health Policy Blog

    The Clock is Ticking as We Enter a Critical Time for the Future of CHIP

    Federal funding for the Children’s Health Insurance Program (CHIP) is set to end this September, and without Congressional action, states will soon confront significant fiscal challenges. If states exhaust their federal CHIP funds, those with separate CHIP programs can cap enrollment and take steps to close their CHIP programs. States that operate Medicaid expansion CHIP […]

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  • State Health Policy Blog
    Delaware and Georgia Use Innovative Strategies to Promote Women’s Health in Medicaid

    Delaware and Georgia Use Innovative Strategies to Promote Women’s Health in Medicaid

    Unplanned pregnancies present a challenge for many women, their families and communities, and are associated with a number of costly health outcomes, including delayed prenatal care, premature birth and low birth weight. Federal initiatives like the Collaborative Improvement & Innovation Network to Reduce Infant Mortality (IM CoIIN) have helped to engage state leaders in efforts […]

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  • State Health Policy Blog

    What’s Next for the Individual Market?

    The rancor of the recent debate around repealing and replacing the Affordable Care Act (ACA), masked a point of agreement- despite progress, the individual market remains unaffordable for too many and sometimes limits plan choice. In a changing economy, more of us move from job to job, sometimes with periods of unemployment; many of us […]

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  • State Health Policy Blog

    An Update on the Three Prongs of Health Reform

    Congressional action to repeal and replace the Affordable Care Act (ACA) is on the fast track. The administration and GOP leaders have outlined a three-pronged effort to reform healthcare beginning with passage of the American Health Care Act (AHCA). Last night, Congress released Manager’s Amendments to the AHCA, inclusive of a series of policy and technical […]

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  • State Health Policy Blog

    CMS Seeks Input on State Innovations in Pediatric Alternative Payment Models

    Health care delivery system innovations in Medicaid have primarily focused on adult populations as states seek to improve the quality of care and control costs for beneficiaries with chronic and complex health care needs.  Many innovations in child-serving systems have been integrated into broader state reforms for adults and through Centers for Medicaid and Medicare […]

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  • State Health Policy Blog

    Improving Health through Housing: Three Tips For State Policymakers

    State and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. Numerous studies show that housing and housing supports can help vulnerable populations improve and maintain health while lowering hospital and other costs for state and local governments. Addressing health and housing can also further state […]

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