• What the American Health Care Act Means for States

    On Thursday, May 4, the U.S. House of Representatives passed the American Health Care Act (AHCA), a major step in efforts to repeal and replace the Affordable Care Act (ACA). The bill now moves to the U.S. Senate, and early reports indicate that states can anticipate a long process as the Senate deliberate changes. A new chart from NASHP shows a side-by-side comparison of major components of the ACA and the AHCA.

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  • Children’s Health Insurance Resources

    Through Medicaid and the Children’s Health Insurance Program (CHIP), states and the nation have made substantial progress in covering children and improving their access to quality health care supporting healthy growth and development. With ongoing funding from the David and Lucile Packard Foundation, NASHP has supported, analyzed, and reported on state efforts to extend children’s coverage since the CHIP program’s inception, building on our longstanding work on Medicaid.

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  • State Legislative Action on Pharmaceutical Prices

    As part of our Pharmacy Cost Work Group, an ongoing project that looks beyond the strategies currently used in states to identify and develop new ideas which address the growing problem of prescription drug costs, NASHP has been tracking state legislative actions to control the rising cost of prescription drugs. This series of maps and accompanying chart summarize state legislation that has been introduced during the 2017 legislative season related to the workgroup’s policy proposals for reducing drug costs

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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 the necessary infrastructure for providers to adopt and adapt integrated care models across the care continuum while meeting their local needs and contexts. In this brief, NASHP reviewed emerging areas of consensus in what makes for a successful integrated care model and highlights how leading states have supported infrastructure development using diverse policy strategies. Read the full brief.

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  • Braiding Funds to House Complex Medicaid Beneficiaries: Key Policy Lessons from Louisiana

    State health policymakers know that improving health and controlling costs sometimes requires investment outside the bounds of medical care. With support from the Robert Wood Johnson Foundation, this brief explores Louisiana’s permanent supportive housing program. The program, administered jointly by the state’s Medicaid agency and housing authority, is a cross-agency partnership that braids funding to serve vulnerable cross-disability populations, address homelessness, reduce institutionalizations, and save money for the state. The state’s ability to sustain the program over time suggests that it holds lessons for other policymakers interested in combining funds to sustainably support initiatives addressing the social determinants of health.

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