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New Federal Health Reimbursement Proposal Adds New Variables to State Health Insurance Markets

In response to President Trump’s Executive Order promoting health care choice and competition, the departments of the Treasury, Labor, and Health and Human Services have proposed a new regulation that provides more flexibility over employer-funded health reimbursement accounts (HRAs). A health reimbursement account (HRA) is an IRS-approved, employer-funded personal health benefit that reimburses employees for […]

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  • State Health Policy Blog
    #NASHPCONF18: As the HIV Population Ages, States Redesign their Long-Term Services Programs

    #NASHPCONF18: As the HIV Population Ages, States Redesign their Long-Term Services Programs

    People living with HIV (PLWH) are living longer due to advances in antiretroviral therapies and disease management. In 2016, 47 percent of PLWH in the United States were over age 50. This population often needs long-term services and supports at an earlier age due to increased risk of dementia, chronic illness, and the social isolation […]

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    November 6, 2018 | Filed under: Front Page, New York, South Carolina, State Health Policy Blog

  • State Health Policy Blog

    How States Promote Recovery for Pregnant and Parenting Women with Substance Use Disorder

    Substance use disorder (SUD), including opioid use disorder (OUD), is prevalent among pregnant and parenting women, and these women have unique and often un-met treatment needs. Despite significant efforts, states report that access to treatment continues to lag for this population. In 2014, half of pregnant women with OUD who were enrolled in publicly-funded treatment […]

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  • Publications
    State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder

    State Options for Promoting Recovery among Pregnant and Parenting Women with Opioid or Substance Use Disorder

    The opioid epidemic has heightened states’ efforts to prevent and treat of substance use disorder (SUD) in pregnant and parenting women. The National Academy for State Health Policy (NASHP), with support from the Health Resources and Services Administration, interviewed Colorado, Pennsylvania, and Texas officials about the unique interagency approaches they are using to promote recovery […]

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  • Publications
    State Strategies for Shared Plans of Care to Improve Care Coordination for Children and Youth with Special Health Care Needs

    State Strategies for Shared Plans of Care to Improve Care Coordination for Children and Youth with Special Health Care Needs

    Care coordination is an essential component of care for children and youth with special health care needs (CYSHCN). When successfully implemented, it can improve care, reduce costs, avoid fragmented and duplicative care, and improve family functioning and satisfaction. As states work to provide quality care coordination, many are adopting shared plans of care (SPoC) to […]

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  • State Health Policy Blog
    Why Shared Plans of Care Are Critical to Coordinated Care and How States Are Implementing Them

    Why Shared Plans of Care Are Critical to Coordinated Care and How States Are Implementing Them

    Children and youth with special health care needs (CYSHCN) can require significant care coordination across a continuum of health and social services. Improved care coordination for CYSHCN can lead to better outcomes for CYSHCN, as well as cost savings for states. To achieve those goals, state Medicaid agencies and Title V CYSHCN programs are increasingly […]

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  • State Health Policy Blog
    Administration Proposes Significant Policy Changes for State Insurance Markets through New 1332 Waiver Guidance

    Administration Proposes Significant Policy Changes for State Insurance Markets through New 1332 Waiver Guidance

    On Oct. 22, 2018, the U.S. Departments of Health and Human Services and Treasury issued new guidance governing Section 1332 State Innovation Waivers, now called State Relief and Empowerment Waivers. Through increased state flexibility, the guidance supports the diffusion of association health plans and short-term, limited-duration plans, continue to stymie state efforts to use a 1332 […]

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    October 23, 2018 | Filed under: All, Front Page, State Health Policy Blog

  • State Health Policy Blog
    SUPPORT for Families and Communities Act: New Funding and Flexibility for States to Address Substance Use Disorder

    SUPPORT for Families and Communities Act: New Funding and Flexibility for States to Address Substance Use Disorder

    Last week, Congress sent the SUPPORT for Patients and Communities Act, a wide-ranging bill that seeks to address the country’s opioid crisis across a number of policy areas, to the President for his signature. The act contains numerous provisions that affect how state Medicaid agencies structure and administer services and supports for individuals with opioid […]

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    October 23, 2018 | Filed under: Front Page, Medicaid, State Health Policy Blog

  • State Health Policy Blog
    Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment

    Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment

    In 2016, only 3.8 million of the 21 million Americans with substance use disorder (SUD) received treatment. As the opioid crisis persists, states have been working to identify new SUD treatment approaches, but the Medicaid Institutions for Mental Diseases (IMD) exclusion has historically put certain residential health care facilities out of reach for many Medicaid […]

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    October 23, 2018 | Filed under: Front Page, Massachusetts, Medicaid, State Health Policy Blog

  • Publications
    Lawrence, Massachusetts, Keeps the Community at the Center of Hospital Community Benefits

    Lawrence, Massachusetts, Keeps the Community at the Center of Hospital Community Benefits

    Lawrence, Massachusetts, a city that has struggled with poverty and poor health, is now a Culture of Health Prize winner due in part to state policies that bolster the city’s efforts to advance health equity and address social needs. These supportive state policies include guidelines governing the local hospital’s community health needs assessments, its community […]

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