Publications

As the national debate over the ACA continues, this publication  looks at why Congress needs to amend the Employee Retirement Income Security Act (ERISA) to assure consumers and payers have the information they need to make health purchasing decisions. The considerable discussion of increasing consumer engagement, in part by expanding the use of health savings accounts […]

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  • Publications

    As the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]

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  • Publications

    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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    February 16, 2017 | Filed under: Children's Health, Front Page, Publications
  • Publications

    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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    February 14, 2017 | Filed under: ACA, Front Page, Indiana, Michigan, Publications
  • Publications

    Today we issue another brief in our series, Lessons from States: Questions for Policymakers, that puts a state lens on emerging proposals in the ACA repeal and replace debate. Our latest, Selling Health Insurance Across State Lines notes that over the last decade 21 states introduced legislation to sell across state lines, only five states enacted such […]

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    February 7, 2017 | Filed under: ACA, Front Page, Publications
  • Publications

    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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  • Publications

    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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  • Publications

    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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    January 3, 2017 | Filed under: Publications
  • Publications

    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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    January 3, 2017 | Filed under: Front Page, Payment Reform, Publications
  • Publications

    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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    December 6, 2016 | Filed under: Publications