Front Page

Comments submitted to the DOL The Gobeille v. Liberty Mutual Insurance Co. decision dealt a blow to state APCDs by denying state all payer claims databases (APCD) the ability to require data submission from self-funded group health plans. Nationally about 63 percent of all workers with employer-based health insurance are in self-funded plans and that […]

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  • Publications,State Health Policy Blog

    Potential Options and Policy Questions for Improving Exchange Coverage for Children

    If federal funding is not extended for the Children’s Health Insurance Program (CHIP) beyond September 2017, some children may need to transition to exchange coverage. NASHP’s new brief examines potential options and policy questions for improving exchange coverage for children in terms of both affordability and pediatric benefit adequacy. NASHP convened a group of stakeholders including […]

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  • State Health Policy Blog

    Five Things to Watch from HHS’s Latest ACA Proposed Regulations

    On September 6, 2016 U.S. Department of Health and Human Services released its latest proposed Notice of Benefit Payment Parameters; the annual omnibus rule to put into place regulatory changes impacting the health insurance marketplaces for the next plan year. Notably, the proposal was released several months earlier than usual this year, likely as a […]

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  • Publications

    A Federal-State Discourse on Maintaining Momentum for Payment and Delivery System Reform

    States and the federal government have been undertaking an almost bewildering array of policy initiatives and experiments in an effort to improve value and reduce costs in the health care system. What are we accomplishing and learning from these efforts? And what’s needed to sustain and advance the most promising strategies? In July 2016, a group […]

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    September 20, 2016 | Filed under: Delivery System Reform, Front Page, Publications

  • Publications
    Treatment for Children with Autism Spectrum Disorders and the EPSDT Benefit

    Treatment for Children with Autism Spectrum Disorders and the EPSDT Benefit

    State Medicaid agencies are working to provide comprehensive health care services for children with autism spectrum disorder (ASD), currently the fastest growing developmental disability in the United States for individuals under age 21. This brief highlights information from the 2014 CMS Informational Bulletin providing clarification on services to be provided to Medicaid-eligible children with ASD […]

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  • Publications

    Intervention, Treatment, and Prevention Strategies to Address Opioid Use Disorders in Rural Areas

    A Primer on Opportunities for Medicaid-Safety Net Collaboration The prevalence of substance abuse disorders in the United States has increased dramatically in the past 15 years with catastrophic consequences, especially in rural regions of the United States. Deaths and injuries from illegal opioid and heroin use are more prevalent in rural states, and death from […]

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    September 12, 2016 | Filed under: Behavioral Health, Front Page, Medicaid, National, North Carolina, Publications

  • State Financing and Delivery Innovations to Address Disparities in Uncontrolled Childhood Asthma

    The high prevalence of uncontrolled asthma among child populations served by Medicaid programs and the associated rising costs often are the impetus for states to improve the quality of care provided to children with asthma. New opportunities to comprehensively address asthma and its triggers are emerging through state and national health care delivery system and […]

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  • Publications

    The Nuts and Bolts of Medicaid Reimbursement for Developmental Screening: Insights from Georgia, Minnesota, and North Carolina

    The early years of a child’s life are critical for growth and development. Identifying developmental delays early and providing appropriate referral and treatment can help prevent more severe issues as well as considerable costs. State Medicaid agencies can play an important role in promoting early identification of developmental delays by reimbursing and tracking the use […]

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  • Publications

    Chronic Pain Management Therapies in Medicaid: Policy Considerations for Non-Pharmacological Alternatives to Opioids

    Although most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]

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    September 2, 2016 | Filed under: Front Page, Long Term and Chronic Care, Medicaid, Publications

  • Publications

    Revisiting Churn: An Early Understanding of State-Level Health Coverage Transitions Under the ACA

    Health coverage transitions—sometimes referred to as churn—have always existed to some degree, but with the Affordable Care Act (ACA) there are additional possibilities for churning to occur across multiple coverage sources. This new NASHP brief examines current efforts in some states to measure these coverage transitions and provides broader context on the issue of churn. […]

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    August 8, 2016 | Filed under: Front Page, Publications