- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
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Oklahoma's Web Portal: Fostering Care Coordination Between Primary Care and Community Service Providers
This is the second in the series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This new brief focuses on the web-based referral and tracking system ("web portal") that Oklahoma has built into its pre-existing Preventive Services Reminder System. The state designed this web portal to improve care coordination for children with or at risk for developmental delays. Oklahoma is already considering ways to adapt the web portal for other services and populations.
February 2012» -
Improving Care Coordination and Service Linkages to Support Healthy Child Development: Early Lessons and Recommendations from a Five-State Consortium
This report summarizes early findings from the current Assuring Better Child Health and Development (ABCD III) learning collaborative of five states. Arkansas, Illinois, Minnesota, Oklahoma, and Oregon are testing models to strengthen linkages and care coordination between pediatric primary care providers and community-based providers of early intervention, mental health, public health, and early care and education services. The states’ early experiences piloting communication tools, facilitating data sharing, implementing quality improvement processes, and involving families are relevant for efforts to engage multi-sector stakeholders to improve state policy, primary care practice, and population health.
June 2011» -
Long Term Services and Supports and Chronic Care Coordination: Policy Advances Enacted by the Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act enacts a variety of initiatives aimed at enhancing long term services and supports (LTSS) and coordination of primary and chronic care for older persons and adults with disabilities. Many of these establish delivery systems demonstrations and Medicaid options that states could adopt to implement state reforms. This NASHP report, supported by THE SCAN Foundation, analyzes the Act’s provisions addressing: 1) National voluntary long term care insurance; 2) Medicaid options and incentives for financing LTSS expansions; 3) Other LTSS provisions; 4) Primary and chronic care coordination; and 5) Nursing home reforms.April 2010» -
Managing Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls
States have demonstrated that it is possible to improve care for the elderly and contain costs at the same time. Notable examples of this success are the creative home- and community-based waiver and state-funded programs operating in Wisconsin, Oregon and Washington, which have shown that people who are nursing home certifiable can be given the less restrictive services they prefer at a cost lower than nursing home care. Yet these programs and others operated by states in every part of the country can only go so far before they bump into the Medicare wall. When an elderly person needs acute care services (as they frequently do), they enter a different part of the service delivery system where Medicare is the major payer. Typically, this part of the service system is disconnected from the long-term care portion, making transitions abrupt and traumatic for consumers. Rather than working together for the maximum benefit of consumers, each part of the system is motivated to guard its resources jealously, shifting patients and their costs to the other part of the system rather than managing those costs.
September 1994 -
Improving the Lives of Young Children: Opportunities for Care Coordination and Case Management for Children Receiving Services for Developmental Delay
This brief, written by NASHP policy specialist Carrie Hanlon and produced by the Urban Institute ,examines states' Medicaid and CHIP policy choices and new opportunities under health reform and other federal legislation to develop a well-coordinated system of care for children receiving Early Intervention (EI) and other ongoing services. State examples in the paper draw significantly from NASHP's Assuring Better Child Health and Development (ABCD) III Program designed to assist states in improving care coordination, case management, and linkages that support healthy child development.
December 2010» -
Building Medical Homes in State Medicaid and CHIP Programs
With 47 million uninsured Americans, double digit inflation in medical spending and health outcomes that lag far behind other nations, comprehensive health care reform that addresses access, cost and quality issues is a national priority. A primary care oriented system may have benefits for population health, equity in health and cost containment and has been shown to reduce racial and ethnic disparities, and result in significantly lower health care costs and improved life expectancy diseases for those with chronic diseases.June 2009 -
Improving Care Coordination, Case Management, and Linkages to Service for Young Children: Opportunities for States
States can play an important role in improving care coordination and case management and strengthening linkages between primary care providers and other child and family service providers to promote and support the healthy development of young children. States can use primary care practice-based strategies, service provider linkage strategies, and systems change and cross-system strategies.
April 2009 -
The Role of State Health Policy in Multi-Sector System and Service Linkages for Young Children
Children must be healthy in order to learn. Their motor skills, coordination, and overall physical health affect social-emotional and cognitive development and academic achievement. The domains of child development are interrelated, demanding a multi-sector approach to foster healthy development. Yet, cross-sector service coordination remains a challenge. Increasingly, states are recognizing that healthy development requires attention to interrelated developmental needs of children and families, leading them to plan more integrated services. State health policy makers and program administrators, using their authority as health care purchasers, regulators, data warehouses, conveners, and educators, can help bridge the gap between the health sector and other early childhood resources by developing policies that promote coordination at both the state and local levels. With funding from the W.K.September 2008 -
New Opportunities and Continuing Challenges: A Report from the NASHP EPSDT Forum
Early access to high-quality child health care and development programs builds a foundation that ensures each child the optimum chance to grow strong physically, emotionally, and socially.
Medicaid, the primary insurer for more than a quarter of all children in the United States, is the critical link to building this foundation for poor and low-income children. In 1967, in response to documented, widespread, preventable mental and physical illnesses among poor children, Congress added Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for beneficiaries under the age of 21. EPSDT is Medicaid's comprehensive and preventive child health program that ensures that each child's health and developmental needs are assessed through initial and periodic examinations and evaluations, and that health and developmental problems found are identified and treated early. Each state administers its own program within rules established by the federal government.
July 2008 -
Money Follows the Person Demonstration: Covering Case Management Services
The Centers for Medicare and Medicaid Services awarded Money Follows the Person demonstration grants to 31 states in 2007. This brief describes the options for covering case management or transition coordination for these projects and describes the potential impact of pending changes to case management coverage resulting from the Deficit Reduction Act of 2005. A joint publication of the Rutgers Center for State Health Policy and the National Academy for State Health Policy. Published for the Community Living Exchange, funded by the Centers for Medicare & Medicaid Services (CMS).September 2007
