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People with mental illnesses use more resources and are more expensive to cover than Medicaid enrollees without these disorders.  Moreover, the subset of adults with serious mental illness (SMI) has the highest per person cost of all disabled, non-dually eligible individuals enrolled in state Medicaid programs. Trained peer support specialists are well positioned to bridge the […]

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  • State Health Policy Blog

    Rounding the Bend: Enrollment and Outreach Updates from the State-based Marketplaces

    2015 has drawn to a close, and with it deadlines for consumers to have coverage on January 1. The Department of Health and Human Services has recently released an enrollment update, citing that over 11.2 million individuals have enrolled in plans through the marketplace, 2.7 million of which have come through the 13 states operating […]

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    January 14, 2016 | Filed under: All, Front Page, State Exchanges, State Health Policy Blog

  • State Health Policy Blog

    Accountable Health Community Models: What’s the State Role?

    With growing recognition that the health care delivery system alone cannot improve population health, there is increasing movement at the state and local levels to create new relationships between systems that focus on traditional health care delivery and those that extend to work, housing, family, and community life. CMMI recently announced an initiative to test […]

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  • Meeting the Health-Related Social Needs of Low-Income Persons: Funding Sources Available to States

    The Accountable Health Communities initiative recently announced by the Center for Medicare & Medicaid Innovation (CMMI) holds promise for helping communities bridge the gap between health care and social services. This important work has the potential to improve health in communities by addressing food insecurity, housing instability, and other social determinants of health.  Although the […]

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  • State Health Policy Blog

    The Kentucky ‘Wrap’: Decreasing Administrative Costs for Medicaid and FQHCs in MCO Payment Reconciliation

    States that have implemented managed care in their Medicaid programs face the complex and time consuming task of reconciling managed care payments to federally qualified health centers (FQHCs) to ensure they are at, or above, their Prospective Payment System (PPS) rates. Several senior Medicaid officials raised this issue during a recent NASHP meeting on the […]

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    January 12, 2016 | Filed under: Front Page, Kentucky, Medicaid, State Health Policy Blog

  • Publications

    Addressing and Reducing Health Care Costs in States: Global Budgeting Initiatives in Maryland, Massachusetts, and Vermont

    In the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their Medicaid programs to cover low-income populations.  More than 16 million people are newly insured under the law. In addition to expanding health coverage, […]

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  • Maps
    State Delivery System and Payment Reform Map

    State Delivery System and Payment Reform Map

       

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    January 4, 2016 | Filed under: Front Page, Maps

  • State Health Policy Blog

    State Medicaid Expansion Plans: 2015 Recap and 2016 Possibilities

    As 2015 comes to a close, Medicaid expansion activity in states has not slowed down. Currently, 30 states and the District of Columbia have expanded Medicaid, and six of these states have chosen to pursue waivers to implement alternative versions of expansion. As the new year approaches, a number of additional states are considering options […]

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  • State Health Policy Blog

    NASHP’s 2015 Health Policy Year in Review

    NASHP has long been a key health policy go-to for states, and 2015 was no different. It’s hard to believe it’s only been a year since I rejoined the organization. We began 2015 hearing from governors across the country calling for progress in reducing health care cost growth, discussing state based exchanges, improving behavioral health […]

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    December 22, 2015 | Filed under: Front Page, State Health Policy Blog

  • State Health Policy Blog

    Will There Be State Innovation Under Section 1332 Waivers?

    Will there be state innovation under Section 1332 Waivers? Since the ACA was enacted in 2010, a number of states have been looking at the law’s State Innovation Waiver, also known as Section 1332, as a way to reimagine the ACA’s approach to health insurance coverage. Apart from final rules issued in 2012 that focused […]

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    December 15, 2015 | Filed under: All, Front Page, State Health Policy Blog