Publications
State Strategies to Measure and Incentivize Adolescent Depression Screening and Treatment in Medicaid
In light of Mental Health Awareness month, it is important to highlight that a significant number of children and youth experience mental health issues. According to research, half of all lifetime cases of mental illness begin by age 14 and depression is the second most prevalent behavioral health disorder among Medicaid-enrolled children. State Medicaid programs […]
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Physical and Behavioral Health Integration: State Policy Approaches to Support Key Infrastructure
Through the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems. Rather than adopting specific integrated care models, states may benefit from taking a broader approach that builds […]
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Lessons from States on Advancing Evidence-based State Health Policymaking for the Effective Stewardship of Healthcare Resources
An evidence-based approach to policymaking enables states to direct health care resources toward the clinical care and health service delivery models most likely to deliver the results state health policymakers seek: better health outcomes through the efficient stewardship of public funds. As states face changing priorities and rising health care costs there is additional pressure […]
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Case Study: How Minnesota Uses Medicaid Levers to Address Maternal Depression and Improve Healthy Child Development
Despite evidence that maternal depression is quite common and can negatively impact young children’s development, it is often undiagnosed and untreated. Since the rate of maternal depression is disproportionately higher in low-income women, Medicaid can play a leading role in identifying at-risk mothers and connecting them to treatment. With support from the David and Lucile […]
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State Perspectives on Children’s Coverage in the Changing Health Policy Landscape
As federal policymakers consider significant changes to health coverage, the future of federal funding for the Children’s Health Insurance Program (CHIP) beyond September 2017 remains uncertain leaving children’s coverage issues in the balance. To examine ways to ensure children’s health coverage needs continue to be met in the changing health policy environment, NASHP convened a […]
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Empowering and Protecting Consumers: ERISA Thwarts State Innovation
As the national debate over the ACA continues, this publication looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]
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Integrating Substance Use Disorder Treatment and Primary Care
As the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]
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2017 CHIP Directors Survey Results
Federal funding for the Children’s Health Insurance Program (CHIP) is set to end on September 30, 2017 without Congressional action. In December 2016, The National Academy for State Health Policy (NASHP) surveyed state CHIP officials to learn about any recent changes in their CHIP programs and how states are budgeting and planning for CHIP considering its uncertain future. […]
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Health Savings Accounts — Lessons from States; Questions for Policymakers
As Congress continues its Affordable Care Act (ACA) repeal effort, and evolving replacement options are in the spotlight, NASHP continues to track issues that appear in replacement proposals and provide state perspectives. In past weeks we’ve looked through a state lens at high-risk pools and selling insurance across state lines. Today we tackle another element of possible ACA replacement proposals: health savings accounts […]
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Federal and State Collaboration to Improve Health Through Housing
State and federal policymakers increasingly acknowledge that health is difficult to achieve and maintain for people without a stable home. The cross-sector nature of efforts to provide health care, housing, and housing-related services to vulnerable populations can make it difficult for health and housing policymakers to align and coordinate their work. With support from The […]
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