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Health Services Initiative Gives States Unique Tools to Improve the Health of Low-Income Children

With federal funding for the Children’s Health Insurance Program (CHIP) assured through 2027, states can consider using a portion of their CHIP dollars to improve the health of low-income children through innovative Health Services Initiative (HSI). HSIs provide states with a mechanism to use CHIP administrative dollars to fund a range of activities beyond just […]

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  • A Glossary of All Terms Pharma

    If you’re working to control the cost of prescription drugs, you need to know the lingo used by the pharmaceutical industry. Below is a glossary of terms commonly used by players in the drug research, regulation, manufacturing, distribution, and purchasing worlds. Drug Product Terms Brand product: Branded products are not generic drugs or products. A brand can be […]

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  • See What Laws State Legislatures Have Passed This Session to Lower Rx Drug Costs

    State legislatures across the country have passed more than 30 new laws designed to curb the rising costs of prescription drugs. From mandating pricing transparency and importing lower-cost drugs from Canada to outlawing pharmacy benefit manager “gag rules,” legislators have enacted laws to protect their states’ budgets and their consumers’ wallets. Read what states have […]

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    June 12, 2018 | Filed under: Front Page
  • How States Can Improve Access to Care for Children Under the Medicaid Managed Care Rule
    State Health Policy Blog

    Next month, states face new federal requirements for establishing and maintaining Medicaid managed care provider networks. As they work to comply with these new rules, states have an opportunity to strengthen access to care for children and youth with special health care needs (CYSHCN). Medicaid and requirements, which address how enrollees access care and the […]

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  • An Early Look at Vermont’s Value-Based, Multi-Payer “Next Gen” Model, Designed to Lower Costs and Improve Population Health
    Publications

    By Robin Lunge, JD, MHCDS Robin Lunge is a member of Vermont’s Green Mountain Care Board, which regulates health insurance rates, hospital budgets, and accountable care organizations. In this brief, she explores how the state’s transformation from a fee-for-service payment system to a value-based, multi-payer model designed to curb health care spending and improve care […]

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  • Ministry, Association, and Short-Term Health Plans: What’s a State to Do?
    State Health Policy Blog

    The Trump Administration is expanding the availability of alternatives to Affordable Care Act-compliant health insurance. Rules to expand association health plans and short-term limited duration health plans are imminent. So what’s a state to do to prepare consumers and insurance markets for these alternative plans? The Administration asserts these alternatives will provide choice and lower-cost […]

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  • The Roadmap Ahead: New York’s Value-Based Payments Reward Communities and Providers for Addressing the Social Determinants of Health
    State Health Policy Blog

    Medicaid payment models in many states are shifting away from rewarding providers for the quantity of care they provide to models that reward high-quality, coordinated care that addresses some of the broader social factors that influence health and well-being. One example is New York’s Value-Based Payment (VBP) Roadmap, which rewards Medicaid providers and community-based organizations […]

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  • The Federal Government Considers Updating Data Collection and Analysis of Drug Prices
    State Health Policy Blog

    The Trump Administration announced a series of initiatives earlier this month to reduce prescription drug prices and patient drug costs. Its American Patients First provides an outline of ideas for future action and reprises initiatives the Administration recently began. The Administration is now seeking public input on many of these proposed policies. The Administration’s Request […]

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  • 50-State Scan of Lead Screening and Treatment Policies for Children and Pregnant Women

    The US Centers for Disease Control and Prevention estimates that children in 4 million households are exposed to high levels of lead. Elevated blood lead levels increase risk for damage to the brain and nervous system, slowed growth and development, and learning, behavior, hearing, and speech problems, along with long-term financial financial and health implications. […]

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  • New Law Helps States Pay for Mental Health and Substance Abuse Services with Federal Foster Care Funds
    State Health Policy Blog

    The Family First Prevention Services Act (FFPSA), passed as part of the Bipartisan Budget Act in February 2018, presents a new funding option for states to provide mental health and substance abuse services in order to prevent the placement of children in foster care. The number of children entering foster care has increased in recent […]

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