Medicaid

Through the Children’s Health Insurance Program (CHIP), states can develop Health Services Initiatives (HSIs) to improve the health of low-income children and youth. While HSIs can serve children of all incomes, they must be designed to directly improve the health of children under age 19 who are eligible for CHIP and/or Medicaid.

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  • Publications

    Vermont Uses an Accountable Care Organization Model to Promote Developmental Screenings during Well-Child Visits

    Without early identification and treatment of development delays, children may face long-lasting and costly consequences. With more states reporting their developmental screening Child Core Set measures and new federal initiatives promoting value-based payment for children’s health, Vermont’s innovative affordable care organization’s approach can provide valuable insights. This fact sheet describes Vermont’s strategy to prioritize developmental […]

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  • Publications

    Palliative Care: A Primer for State Policymakers

    State policymakers are increasingly paying attention to palliative care programs, which offer patient-centered and cost-effective care for individuals with serious illness. Adding palliative care to treatment has been shown to improve health outcomes and quality of life, while lowering costs an average of $7,000 per patient in high-need, high-cost populations. This new National Academy for […]

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  • State Health Policy Blog

    Maryland Passes Nation’s First Prescription Drug Affordability Board Legislation

    On April 8, 2019, the Maryland General Assembly passed legislation that which would create the first state Prescription Drug Affordability Board (PDAB) to address the costs of certain high-priced drugs in Maryland. Gov. Larry Hogan has until May 31, 2019, to sign or veto the bill. If he signs the bill or does nothing, the […]

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  • Publications

    State Initiatives Using Purchasing Power to Achieve Drug Cost Containment

    This report focuses on several state purchasing strategies designed to achieve concessions in negotiations with drug manufacturers and in other parts of the prescription drug supply chain. The highlighted strategies include intrastate actions, which combine state agencies’ purchases of drugs to improve their negotiating clout, and interstate activities, such as multi-state organizations that unite to […]

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    April 15, 2019 | Filed under: Featured-Rx, Front Page-Rx, Medicaid, Payment Reform, Publications

  • Publications

    Cross-Agency Strategies to Curb Health Care Costs: Leveraging State Purchasing Power

    Rising health care costs are an intractable problem in the United States, but states, faced with balanced budget requirements and growing voter concern, aren’t waiting for a federal solution. This report explores state initiatives to curb health care costs by:  Leveraging Medicare’s well-established reimbursement rates as reference prices for state employee plans to address rising […]

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  • State Health Policy Blog

    Colorado Develops New Payment Method for Physician-Administered Drugs – with the Potential to Save Millions

    The National Academy for State Health Policy (NASHP) provided a grant to the Colorado Department of Health Care Policy and Financing to develop a new payment methodology for physician-administered drugs (PADs). PADs are drugs delivered by intravenous infusion or injection in clinical settings. The category includes costly drugs, such as chemotherapy and other specialty medications. […]

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  • State Health Policy Blog

    How the President’s Proposed Budget Impacts Critical State Health Programs

    The President’s 2020 budget request proposes a 12 percent reduction in the US Department of Health and Human Services (HHS) budget, compared to 2019 federal fiscal year (FFY) funding levels. The following highlights some of the key components of the President’s proposed $87.1 billion HHS budget proposal that could impact state health programs. Affordable Care […]

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  • State Health Policy Blog

    Considerations for States Crafting Budgets to Support Children’s Coverage

    After months of uncertainty and a three-month federal funding lapse, in early 2018 Congress passed the HEALTHY KIDS and ACCESS Acts, which appropriated federal funds for the Children’s Health Insurance Program (CHIP) through federal fiscal year (FFY) 2027. While the HEALTHY KIDS and ACCESS Acts’ long-term funding stabilizes CHIP programs and helps states develop forward-focused […]

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  • State Health Policy Blog

    Oregon’s Accountable Health Model Addresses Health Equity and Health-Related Needs: Four Lessons from CCO 2.0

    States developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers — including physical, behavioral, and oral health providers — that the state pays a global capitated […]

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