Medicaid

States Take Administrative Actions to Curb Medicaid Drug Costs

During the 2018 legislative session, 28 states passed 45 laws to curb the rising cost of prescription drugs. In addition to legislative solutions, states are taking administrative action to better manage state spending on Medicaid pharmacy benefits. Ohio, West Virginia, and Vermont offer examples of states taking innovative administrative approaches to rein in drug costs. […]

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  • Federal Housing Policy Developments Could Affect State Health and Housing Programs
    State Health Policy Blog

    Peggy Bailey is director of the Health Integration Project at the Center on Budget and Policy Priorities and Amy Clary is a senior policy associate at NASHP. States use a range of policy levers to address the roughly 80 percent of factors affecting health that are outside the realm of clinical care, such as access […]

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    October 9, 2018 | Filed under: Front Page, Medicaid, State Health Policy Blog
  • Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration
    State Health Policy Blog

    Should states integrate their health insurance and human services eligibility and enrollment systems? Some state officials are weighing this question now that their revamped, Affordable Care Act (ACA) health coverage systems have been operational for several years and most of the early, initial glitches have been repaired. However, there are multiple factors to consider, some […]

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  • Federal Proposal Broadens “Public Charge” Definition for Immigrants: What Are the Implications for States?
    State Health Policy Blog

    The Department of Homeland Security (DHS) recently released a proposed rule to change public charge determination policies. Currently, the immigration status of individuals can be affected and individuals can be denied lawful permanent residence if they are determined to be a “public charge” based on their enrollment in cash assistance programs, such as Temporary Assistance […]

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    September 25, 2018 | Filed under: Front Page, Immigrants, Medicaid, State Health Policy Blog
  • State Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis
    Publications

    The opioid epidemic continues to have devastating consequences for children and families across the country, with growing social and financial implications for states. The National Academy for State Health Policy (NASHP), in partnership with the Alliance for Early Success, interviewed Kentucky, New Hampshire, and Virginia officials representing state Medicaid, child welfare, and behavioral health programs […]

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  • Oklahoma Signs the Nation’s First State Medicaid Value-Based Contracts for Rx Drugs

    On the heels of Oklahoma’s first-in-the-nation, value-based purchasing deal to improve adherence to an antipsychotic drug, the state’s Medicaid agency just signed its second value-based contract for a prescription drug used to treat serious bacterial skin infections. While several private insurers have initiated value-based contracting, which links payments to a drug’s effectiveness and outcome, Oklahoma […]

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    September 25, 2018 | Filed under: All, Front Page, Medicaid
  • State Levers to Promote Lead Screening and Treatment: Rhode Island’s Strategies
    Publications

    Addressing lead hazards today generates future economic benefits and improved health outcomes for children. In partnership with the Health Resources and Services Administration, the National Academy for State Health Policy is publishing a series of case studies highlighting effective state initiatives to promote lead screening and treatment. This study explores how Rhode Island has used […]

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  • How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents

    To encourage investments in population health, states are increasingly using levers available in their managed care and value-based contracts to address social determinants of health, such as housing and employment. With support from the Robert Wood Johnson Foundation, the National Academy for State Health Policy examined Medicaid contracts and contract guidance documents in 11 states […]

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  • Medicaid and CHIP Levers to Promote Lead Screening and Treatment: Indiana’s Experience
    Publications

    Addressing lead hazards today generates future economic benefits and improved health outcomes for children. In partnership with the Health Resources and Services Administration, NASHP is publishing a series of case studies highlighting state initiatives to promote lead screening and treatment. This study explores Indiana’s efforts to address this issue within its Medicaid and Children’s Health […]

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  • State Strategies to Incorporate Oral Health into Medicaid Payment and Delivery Models for People with Chronic Medical Conditions
    Publications

    State health policymakers know oral health is an essential component of overall health and well-being, but state Medicaid programs face increasing costs and growing demands. Many of their enrollees struggle with high-cost, chronic conditions — often linked to oral health issues. To explore possible approaches to improve oral health care, NASHP interviewed key Medicaid officials […]

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