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An Indigenous Health System’s Strategy to Develop Workforce and Tools to Connect Hard-to-Reach Populations to a Medical Home

Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia
October 2014

 

Q. If you build a medical home, will they come?
A. It depends on the population served. For disenfranchised, complex populations, if there are no concerted efforts, the answer is a resounding no.

Enter Community Liaison Officers (CLO)—a role created by the Institute for Urban Indigenous Health (IUIH) in 2009 to connect its population of approximately 70,000 Aboriginal and Torres Strait Island people to primary health care services at one of their 18 primary care clinics in Southeast Queensland, Australia.

A Helping Hand: Support for Families in Using the EPSDT Benefit

By Mike Stanek

September 2014

The Medicaid benefit for children and adolescents (also known as the Early and Periodic Screening, Diagnostic, and Treatment benefit or EPSDT), Medicaid’s comprehensive and preventive child health component, is the backbone of public health insurance for children and youth. It provides over 44 million children with access to a range of preventive, screening, and treatment services. State Medicaid agencies are continuously developing and implementing new strategies under the EPSDT benefit to improve the care delivered to children. Sharing the tools, resources, and strategies developed by each state will enable policymakers to benefit from the work of their peers.

Organizing Delivery Systems to Better Support Primary Care: What Can States in the US Learn From and Share With Australia?

Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia
September 2014

What can states with large frontier areas such as Alaska, Texas, Montana, and Arizona learn from how Australia organizes and supports primary care delivery in its vast outback? 

What do publicly financed community-based teams, networks, and organizations found in states including Vermont, North Carolina, Oregon, and Colorado have in common with the Australia government’s four-year experiment in financing and organizing local primary health care organizations nation-wide?

What lessons can states such as Massachusetts, Rhode Island, and Pennsylvania share with the Australian government on how to evolve primary care provider payments from fee for service (FFS) (yes, Australia general practitioners also get paid FFS) to blended payment models that include capitation and shared savings to better support access to medical homes?

Using Payment Policies to Support Primary Care – Behavioral Health Integration in Medicaid

By Shayla Regmi and Andrew Snyder

 August 2014

Many states are developing and implementing strategies for integrating behavioral health with primary care. Integrated care improves patients’ access to behavioral health services, attendance at scheduled appointments, satisfaction with care, and adherence to treatment. Minority populations in particular are more likely to seek mental health treatment from primary care practitioners than from mental health specialists. Medicaid payment policies, including reimbursement for behavioral health screenings, management, and referrals in primary care settings, can facilitate this integration.

State Strategies for Improving Maternal and Infant Care

By Carrie Hanlon

August 2014

Low birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as the Health Resources and Services Administration (HRSA)’s Collaborative Improvement & Innovation Network (CoIIN) to Reduce Infant Mortality and Healthy Start program, as well as the Centers for Medicare and Medicaid Services (CMS)’ Strong Start for Mothers and Newborns and Maternal and Infant Health Initiative.  These federal initiatives engage state policy makers, providers, and other stakeholders.  

Creating the Perfect Storm for Community-Based Prevention

by Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions
April 2014

The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of high health spending and poor health outcomes.

 

 A recent report by the Robert Wood Johnson Foundation’s Commission to Build a Healthier America, confirms what we already know: dramatically changing these statistics requires a combined approach that comprises investment in health care delivery and expanding “our focus to address how to stay healthy in the first place.”

 

Medicaid Managed Care for Children and Youth with Special Health Care Needs

by Joanne Jee
February 2014

Where some may see opportunities for improved delivery and coordination of care and cost savings, others may wonder about possible disincentives for providing the full array of needed services. For more vulnerable populations, such as children and youth with special health care needs (CYSHCN), the concerns can be heightened. 

 

Ringing in a New Year for Children’s Coverage

By Carla Plaza
January 2014

The start of a new year is a time for reflection and making resolutions. A new year also brings renewed hope, and in 2014, many individuals and families will have access to health insurance coverage, perhaps for the first time. Given all the attention to enrollment and coverage due to the roll out of the Affordable Care Act (ACA), we here at NASHP also hope to continue to help states make progress in reducing the number of uninsured children.
 

2013: Exchanges and More

Neva KayeBy Neva Kaye
December 2013

The health policy community has been paying rapt attention to the challenges and successes of implementing the state and federal health insurance exchanges (aka marketplaces).  But states have a much broader agenda for improving coverage, promoting access to services, and improving the delivery of care.  In NASHP’s final blog of the year we draw attention to the many accomplishments that have occurred outside the spotlight.

 

How Do I Enroll Thee? Let States Count the Ways…

By Alice Weiss
November 2013

 

While open enrollment for health insurance exchanges is well underway, major changes to enrollment processes won’t begin for all states until January 1, 2014, when the Affordable Care Act’s Medicaid and Children’s Health Insurance Program (CHIP) eligibility requirements go into effect.  These new requirements, like the “no wrong door” enrollment process, standard income determination rules, and electronic verification, apply to all states, regardless of their decision to host an exchange or expand Medicaid.  To prepare, state officials have been working around the clock. 

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