Publications

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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  • 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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  • Publications

    New Report Highlights Successful, Cross-Agency Strategies to Address Substance Use Disorder

    States are realigning policies, funding, staffing, and data across agencies to better meet the needs of people living with or at risk of developing substance use disorder (SUD). In 2018, NASHP and the Association of State and Territorial Health Officials (ASTHO) convened a group of Medicaid and public health leaders to discuss state strategies for […]

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    March 25, 2019 | Filed under: Front Page, Publications

  • Publications

    States Use Policy Levers and Emerging Research to Address Antipsychotic Use in Children in Foster Care

    State policymakers must often take action during an emerging crisis even when evidence identifying the best policy approach is not be available. This report, Evidence-Based Policymaking Is an Iterative Process: A Case Study of Antipsychotic Use among Children in the Foster Care System, explores successful state responses to dramatic increases in antipsychotic prescription rates in Medicaid-enrolled children […]

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  • Publications
    Fact Sheet Highlights Medicaid’s Critical Role in Screening for Maternal Depression

    Fact Sheet Highlights Medicaid’s Critical Role in Screening for Maternal Depression

    Despite evidence that maternal depression is common and can impede the development of young children, it is often undiagnosed and untreated. Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. NASHP’s new fact sheet provides background on maternal depression while also presenting a summary of state Medicaid policies for […]

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    January 29, 2019 | Filed under: Front Page, Medicaid, Publications

  • Publications,Toolkits
    NASHP Resource Hub: State Strategies to Address Palliative Care

    NASHP Resource Hub: State Strategies to Address Palliative Care

    Palliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness. States are uniquely positioned to influence how Americans think about access, and experience palliative care. States pay for and provide health care […]

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    December 17, 2018 | Filed under: Front Page, Publications, Toolkits

  • Publications
    How Supported Employment Can Address Mental Health Inequities in Minority Populations: Five States’ Experiences

    How Supported Employment Can Address Mental Health Inequities in Minority Populations: Five States’ Experiences

    Supported employment is used to help people with severe mental illness and other disabilities obtain and retain jobs. As states increasingly promote employment among public assistance recipients, could this model be expanded to new populations, including those with more common mental disorders or racial or ethnic groups who face health disparities? In this report, NASHP […]

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    December 10, 2018 | Filed under: Front Page, Population & Public Health, Publications

  • Publications
    State Immunization Services and Policies Resource Page

    State Immunization Services and Policies Resource Page

    Despite the availability of safe and effective vaccines through Medicaid and the Vaccines for Children program, immunization rates among children enrolled in Medicaid remain lower than for privately-insured children. Disparities in vaccination rates also persist for African-American children and those living in poverty. Nearly half of US pregnant women are covered by Medicaid, but data […]

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    December 3, 2018 | Filed under: Front Page, Population & Public Health, Publications

  • Publications
    How States Use Medicaid Managed Care to Deliver Long-Term Services and Supports to Children with Special Health Care Needs

    How States Use Medicaid Managed Care to Deliver Long-Term Services and Supports to Children with Special Health Care Needs

    An increasing number of state Medicaid agencies are using managed care to provide long-term services and supports to children and youth with special health care needs (CYSHCN). This new NASHP issue brief explores the strategies and critical contract language and policies that states are using to implement these Medicaid managed care programs to provide long-term […]

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    December 3, 2018 | Filed under: CYSHCN and Medicaid Managed Care, Publications

  • Publications
    Virginia’s BabyCare Program: Working to Improve Birth Outcomes through Medicaid

    Virginia’s BabyCare Program: Working to Improve Birth Outcomes through Medicaid

    Nationally, Medicaid finances 45 percent of births and is a critical resource to improve maternal health and birth outcomes and lower avoidable costs. With an increasing number of initiatives focusing on pregnant and postpartum women, such as the federal Maternal Opioid Misuse (MOM) Model, states can learn from innovative programs, including Virginia’s BabyCare initiative. This […]

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    December 3, 2018 | Filed under: Front Page, Population & Public Health, Publications, Virginia