Publications
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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Data, Delivery, and Decisions as Levers for Enhancing Whole-Person Care for People Living with HIV: Lessons From the Ruth M. Rothstein CORE Center
Thursday, January 26, 2017 3:00 – 4:00PM View the webinar here. As states continue to focus on integrated care and delivery system reform, meaningful opportunities exist to improve care for people living with HIV (PLWH). In particular, states can use existing centers of care to promote “one-stop shopping” utilization of multidisciplinary services for PLWH and […]
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Primary Care Provider Burnout: Implications for States & Strategies for Mitigation
Provider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this brief addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as […]
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Access for the Uninsured: Lessons from 25 Years of State Initiatives (The Flood Tide Forum, Rereleased from January 2000)
In light of the current and anticipated debates surrounding health policy and access NASHP is rereleasing this report originally published in January 2000. See Trish Riley’s Latest Blog Read the Full Publication.
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Measuring Physical and Behavioral Health Integration: A Look at State Approaches in the Context of Value-Based Purchasing
The case for an integrated approach to care—one that can seamlessly and collaboratively address patients’ physical and behavioral health needs—is compelling. Individuals with behavioral health conditions, either a mental health diagnosis, a substance use disorder, or both, are some of the Medicaid’s most costly enrollees.[i] Analyses indicate this subset of high-cost enrollees typically has a […]
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NASHP Leaders’ Summit: State Health Policy and the Next Administration
Read the full brief here. Summary As President Trump and the new Congress take office in 2017, fundamental changes to alter the health care system will be debated. States have been actively engaged in health reform, embracing changes to insurance markets, new investments and innovation in delivery system and payment reform, as well as public […]
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Federal and State Collaboration for Medicare-Medicaid Alignment
NASHP recently brought together a group of state and federal policy leaders to discuss the Medicare-Medicaid Financial Alignment Initiative, D-SNP health plans, and other programs and resources aimed at aligning health care payment and delivery to improve care for dual eligibles. See a report from the meeting and sign up for a webinar on state […]
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States and the Rising Cost of Pharmaceuticals: A Call to Action
As part of the 29th Annual State Health Policy Conference, held 17-19 in Pittsburgh, PA, NASHP released findings from our Pharmacy Costs Work Group aimed at addressing the increasingly rising costs of pharmaceuticals. The solutions offered in the newly released findings serve as a toolbox for states. While they recognize the value of the pharmaceutical industry, state policymakers […]
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