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NASHP Awards Grants to Colorado, Delaware, and Oklahoma to Tackle Rising Rx Drug Prices

The National Academy for State Health Policy (NASHP) has awarded $300,000 in grants to Colorado, Delaware, and Oklahoma to help the states develop innovative policy solutions to tackle high prescription drug prices. With the support from the Laura and John Arnold Foundation, the funding enables states to explore promising policy approaches to control rapidly escalating […]

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  • States Could Gain More Flexibility to Manage Medicaid Programs — What Can They Learn from the 1990s AFDC Flexibility Experience?
    State Health Policy Blog

    The new Administration has signaled a willingness to give states more flexibility to address health and prevention in new and innovative ways under Section 1115 of the Social Security Act. This provision allows the Department of Health and Human Services to approve experimental and innovative projects that promote the goals of Medicaid. This comes at […]

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    October 10, 2017 | Filed under: Blog Posts, Front Page, Medicaid, State Health Policy Blog
  • Success Spurs Growth of Medicaid Managed Care for Children with Special Health Care Needs
    State Health Policy Blog

    Two decades ago, the majority of state Medicaid programs that served children and youth with special health care needs (CYSHCN) relied on a traditional, fee-for-service model to pay for the complex mix of health care services that this group of children often need. But as states became more adept at designing new health care delivery […]

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  • State Health Policy Blog

    Improving birth outcomes, including reducing infant mortality, is a priority for state Medicaid agencies that finance nearly half of all births each year. Three states have proven to be creative and effective laboratories in developing initiatives that use Medicaid payment and delivery reform strategies to lower costs, improve access to postpartum care, reward high-quality care, […]

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  • Publications

    Today we issue another brief in our series, Lessons from States: Questions for Policymakers, that puts a state lens on emerging proposals in the ACA repeal and replace debate. Our latest, Selling Health Insurance Across State Lines notes that over the last decade 21 states introduced legislation to sell across state lines, only five states enacted such […]

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    October 3, 2017 | Filed under: ACA, Front Page, Health Reform Hub, Publications
  • Explore the Limited Choices States Face as Washington Debates CSR Payments

    As lawmakers debate how to stabilize the individual market, one of the key sticking points is whether to fund cost-sharing reduction (CSR) payments instituted under the Affordable Care Act. CSRs subsidize insurance policies that offer lower-cost coverage to low-income consumers. This graphic offers a simple explanation of the limited choices states faced as they set rates for […]

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    October 3, 2017 | Filed under: ACA, Front Page
  • State Medicaid Managed Care Program Design for Children and Youth with Special Health Care Needs
    Maps

    State Medicaid agencies increasingly are providing services to children and youth with special health care needs (CYSHCN) through Medicaid managed care (MMC) delivery systems, including risk-based managed care, primary care case management (PCCM), and prepaid health plans. This table reviews key characteristics of states’ MMC program design for CYSHCN, including enrollment, whether states define CYSHCN […]

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  • State Health Policy Blog

    The Graham-Cassidy amendment represented a radical overhaul of how health care coverage is financed and delivered, raising anew the question of federalism – what should the federal government guarantee and how much state variation should be supported? The legislation tossed most critical health care coverage and policy decisions to states without giving them sufficient time or […]

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  • State Health Policy Blog

    The Centers for Medicare & Medicaid Services (CMS) recently released its third annual evaluation of the State Innovation Model (SIM) Round One Test States, which analyzes the ability of states to use policy and regulatory levers to drive statewide health care transformation. The evaluation, completed by a team of researchers from RTI International, the Urban […]

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    September 26, 2017 | Filed under: Blog Posts, Front Page, Maine, Minnesota, State Health Policy Blog, Vermont
  • State Medicaid Agencies Venture into Value-Based Purchasing with Federally Qualified Health Centers
    State Health Policy Blog

    State Medicaid agencies have generally found it challenging to include federally qualified health centers (FQHCs) in value-based purchasing initiatives because of a federal law passed in 2000 that regulates how state Medicaid programs pay FQHCs for the care they provide. State Medicaid agencies are required to reimburse FQHCs through the Prospective Payment System (PPS), a […]

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