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State leaders know that low-income and vulnerable populations often need services and supports outside the scope of a single state agency—or a single funding stream—to live healthy lives. In some states, braiding or blending funding streams lends programs a measure of flexibility, efficiency, and resiliency that a single source of funding might not. In the […]

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  • State Health Policy Blog

    States are searching for new and innovative approaches to handle the rising cost of prescription medicines – both the sudden spike in spending that comes with a new high-cost treatment and the ongoing challenges of regular, inexplicable, price hikes for all covered drugs. The United States has the highest prescription drug prices in the world. […]

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  • On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

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  • State Health Policy Blog

    As Congress debates the future of the ACA and Medicaid funding, one question looms large: What will proposed changes mean to state budgets that are already under significant pressure? On July 6th, after protracted wrangling, Illinois enacted its first budget in two years. Maine and New Jersey experienced brief shut downs and Washington narrowly avoided […]

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  • State Health Policy Blog

    State health policymakers are increasingly acknowledging housing as a key component of health, and are weaving housing strategies into their broader health system transformations. States have powerful levers at their disposal and a range of funding streams that they can bring to bear to support integrated health and housing, while local public housing authorities also […]

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  • State Health Policy Blog

    Poor birth outcomes, such as pre-term birth, carry substantial human and financial costs and are generally influenced by women’s health and socioeconomic factors such as race, ethnicity, income, health care access, and education. According to the Institute of Medicine, the cost associated with pre-term birth in the U.S. is $26.2 billion each year, with Medicaid […]

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  • State Medicaid Quality Measurement Activities for Women’s Health
    Maps

    *Maps and Chart updated as of November 3, 2017* State Medicaid agencies provide a variety of health services to women that promote overall health and well-being and support improved birth outcomes, such as reduction in infant mortality rates. States have the option of implementing performance measurement, incentives or improvement projects, including as part of broad […]

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  • State Health Policy Blog

    Budgets are important windows into the priorities of an administration. While the White House budget for FY 2018 proposes some targeted infrastructure investments,[i] it also proposes to reduce funding for public health infrastructure and services. The budget proposed by the White House is expected to change in Congress; however, it is important for states to […]

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  • State Health Policy Blog

    Under the current administration, the Centers for Medicare and Medicaid Services (CMS) has signaled a willingness to evaluate new types of Medicaid proposals from states. Specifically, in March of this year CMS indicated that the agency would consider Medicaid waiver applications that include programs to connect individuals to employment or incorporate features of private market […]

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  • Accounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting in […]

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