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 services, regulate providers, facilities, and insurance plans, and help educate future health professionals. States are increasingly interested in how they can use palliative care to help drive value within their health care systems.
As part of a new project funded by The John A Hartford Foundation, NASHP will explore the role states play in improving access to and quality of palliative care for individuals with serious illnesses. The John A. Hartford Foundation is a national philanthropy based in New York City dedicated to improving the care of older adults. Over the course of this timely project, NASHP will convene state leaders, conduct a 50-state scan of palliative care policies and activities, and develop tools and resources to help states advance palliative care.
State Palliative Care Policies
Palliative Care: A Primer for State Policymakers, May 2019. This new National Academy for State Health Policy primer, with funding from The John A. Hartford Foundation, identifies policy approaches states can use to implement and expand palliative care in their states.
Advancing Palliative Care for Adults with Serious Illness: A National Review of State Palliative Care Policies and Programs, December 2018. NASHP conducted a comprehensive review of how states are supporting the delivery of palliative care to adults. This comprehensive report, and accompanying charts, highlights major trends observed from all 50 states and Washington, DC, promising policy approaches, and key considerations for states to enhance palliative care access and quality across settings.
- Read or download the report: Advancing Palliative Care for Adults with Serious Illness: A National Review of State Palliative Care Policies and Programs
- Read or download Appendix A: Scan of State Regulations for Adult Palliative Care Activity
- Read or download Appendix B: Scan of State Medicaid Programs for Adult Palliative Care
Webinar: Advancing Palliative Care for Adults with Serious Illness: A National Review of State Palliative Care Policies and Programs, January 2019. In September 2018, NASHP conducted a comprehensive scan of how states are supporting the delivery of palliative care to adults. This webinar highlighted major trends from all 50 states and Washington, DC, promising policy approaches, and key considerations for states identified through the scan. Additionally, it featured a presentation on how Texas is working to advance palliative care through stakeholder engagement and Medicaid quality improvement initiatives.
Webinar: Utilizing Quality Measures to Build an Effective Palliative Care System, October 2019. This NASHP webinar provided an overview of the landscape of palliative care quality measurement, how quality measures can be utilized, and highlighted information from New York State and the National Committee for Quality Assurance to improve tracking and reporting on quality palliative care measures.
NASHP: Seven Ways State Policymakers Can Promote Palliative Care, November 2019. States face challenges as they work to integrate palliative care across the health care continuum. This seven-step roadmap offers strategies that policymakers can use to implement and improve palliative care services in their states.
NASHP: States Explore Strategies to Advance Palliative Care at #NASHPCONF18, September 2018. In August, 2018, a group of state policymakers gathered at NASHP’s annual health policy conference to explore how to advance palliative care services in states. This blog explores what steps California, Colorado, Maryland, and Rhode Island have taken to advance palliative care through Medicaid reimbursement, regulatory updates, workforce development, and stakeholder engagement.