Publications

This issue brief examines the early implementation of the Dirigo Health Reform Act, Maine’s comprehensive effort to create a sustainable health care system. Developed by NASHP for the Maine Governor’s Office of Health Policy and Finance. Dirigo_Health_Reform.pdf 332.1 KB  

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  • Publications

    Report from Focus Groups with Mainers about the Dirigo Health Plan

    This paper reports on the results of focus group studies conducted to ascertain Maine citizens’ views of the Dirigo Health Reform Act. Dirigo Focus Groups 363.7 KB  

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    March 26, 2009 | Filed under: Publications

  • Publications

    Health Reform in Maine, Massachusetts, and Vermont: An Examination of State Strategies to Improve Access to Affordable, Quality Care

    This issue brief was prepared by NASHP for the Maine Health Access Foundation to examine the progress of health reform in Maine, Massachusetts, and Vermont and to compare these three states’ efforts. The brief was developed and written by Neva Kaye and Andrew Snyder.   The brief includes information on:   • An overview and summary […]

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    March 26, 2009 | Filed under: Delivery System Reform, Publications

  • Publications

    Designing Maine’s DirigoChoice™ Benefit Plan – Striving to Improve Health at an Affordable Price

    Maine’s Dirigo Health Reform Act of 2003 seeks to address health care costs, quality, and access. In order to address access, the Act authorizes the creation of a voluntary market-based health plan to help small businesses, the self-employed, and individuals afford health coverage. This issue brief addresses benefit design of the health plan, DirigoChoice™. Dirigo_Benefit_Plan.pdf […]

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    March 26, 2009 | Filed under: Publications

  • Publications

    State Efforts to Extend Dependent Coverage for Young Adults

    This State Health Policy Monitor gives an overview of the key features of state laws designed to expand dependent coverage options for young adults. Policy makers are becoming aware that young adults are the fastest growing group of uninsured in America. In fact, they are more likely to be uninsured than any other age group. […]

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    March 26, 2009 | Filed under: Medicaid, Publications

  • Publications

    Chronic Homelessness and High Users of Health Services: Report from a Meeting to Explore a Strategy for Reducing Medicaid Spending While Improving Care

    There is evidence that homeless people, especially the chronically homeless, incur high health care costs, much of which may be paid for with Medicaid funds. There is also evidence that health care costs are reduced when homeless people with intensive medical needs enter supportive housing, which combines affordable, stable housing with care workers who assist […]

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    March 25, 2009 | Filed under: Medicaid, Publications

  • Publications

    Safety Net Workforce in the Context of Health Care Reform

    In the drive by many states to craft programs to expand health coverage to reach more, if not all, of their uninsured population, the focus has been on the cornerstone implementation issues of mandates and affordability. Less attention has been paid to the question of whether there is adequate provider capacity to deliver care, especially to […]

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    March 25, 2009 | Filed under: Publications

  • Publications

    The Effects of Medicaid Reimbursement Rates on Access to Dental Care

    Dentists cite three primary reasons for their low participation in state Medicaid programs: low reimbursement rates, burdensome administrative requirements, and problematic patient behaviors. In the late 1990s and early 2000s, a number of states took dramatic steps to try to improve access to dental care in Medicaid. Alabama, Michigan, South Carolina, Tennessee, Virginia, and Washington […]

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    March 25, 2009 | Filed under: Medicaid, Oral Health, Publications

  • Publications

    The CMS August 2007 Directive: Implementation Issues and Implications for State SCHIP Programs

    This State Health Policy Briefing discusses the August 17, 2007 letter from the Centers for Medicare and Medicaid Services (CMS), which has major implications for the State Children’s Health Insurance Program (SCHIP) and children’s health coverage. Among states and advocates alike, there is concern that aspects of the directive work against achieving the goals of […]

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  • Publications

    State Health Policies Aimed at Promoting Excellent Systems: A Report on States’ Roles in Health Systems Performance

    This report presents findings from the State Health Policies Aimed at Promoting Excellent Systems (SHAPES) project undertaken by the National Academy for State Health Policy with support from The Commonwealth Fund. The project built on the work of  The Commonwealth Fund’s Commission on a High Performance Health System to explore the roles that States play […]

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    March 25, 2009 | Filed under: Publications