Blog Posts

Cost Sharing Reduction Debate: Why This Matters and How States Are Preparing for an Uncertain Future

Today, the Affordable Care Act (ACA) includes several provisions designed to reduce the cost of insurance for consumers purchasing policies on individual markets. The Administration, Congress, states, insurers, and health policy stakeholders are currently debating the fate of these cost-sharing reduction (CSRs) programs and the result could significantly alter ACA markets in 2018. NASHP reviews […]

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  • State Health Policy Blog

    As we enter into August, there is increased pressure on states because federal funding for the Children’s Health Insurance Program (CHIP) remains uncertain beyond September 30, which means states are now facing critical decision points. States do not know if and when Congress will continue funding CHIP and even if federal funds are extended will […]

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  • State Health Policy Blog

    This week, the Senate released two bills as part of its efforts to repeal the Affordable Care Act (ACA): A revision to the Better Care Reconciliation Act (BCRA) eliminating the “Ted Cruz Amendment” which provided funding to create coverage alternatives for high-risk individuals (see our revised chart) and; The Obamacare Repeal Reconciliation Act (ORRA), a […]

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    July 21, 2017 | Filed under: ACA, Blog Posts, Front Page, State Health Policy Blog
  • State Health Policy Blog

    State leaders know that low-income and vulnerable populations often need services and supports outside the scope of a single state agency—or a single funding stream—to live healthy lives. In some states, braiding or blending funding streams lends programs a measure of flexibility, efficiency, and resiliency that a single source of funding might not. In the […]

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  • State Health Policy Blog

    States are searching for new and innovative approaches to handle the rising cost of prescription medicines – both the sudden spike in spending that comes with a new high-cost treatment and the ongoing challenges of regular, inexplicable, price hikes for all covered drugs. The United States has the highest prescription drug prices in the world. […]

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  • State Health Policy Blog

    As Congress debates the future of the ACA and Medicaid funding, one question looms large: What will proposed changes mean to state budgets that are already under significant pressure? On July 6th, after protracted wrangling, Illinois enacted its first budget in two years. Maine and New Jersey experienced brief shut downs and Washington narrowly avoided […]

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    July 12, 2017 | Filed under: ACA, Blog Posts, Front Page, State Health Policy Blog
  • State Health Policy Blog

    State health policymakers are increasingly acknowledging housing as a key component of health, and are weaving housing strategies into their broader health system transformations. States have powerful levers at their disposal and a range of funding streams that they can bring to bear to support integrated health and housing, while local public housing authorities also […]

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  • State Health Policy Blog

    Poor birth outcomes, such as pre-term birth, carry substantial human and financial costs and are generally influenced by women’s health and socioeconomic factors such as race, ethnicity, income, health care access, and education. According to the Institute of Medicine, the cost associated with pre-term birth in the U.S. is $26.2 billion each year, with Medicaid […]

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  • State Health Policy Blog

    Budgets are important windows into the priorities of an administration. While the White House budget for FY 2018 proposes some targeted infrastructure investments,[i] it also proposes to reduce funding for public health infrastructure and services. The budget proposed by the White House is expected to change in Congress; however, it is important for states to […]

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  • State Health Policy Blog

    Under the current administration, the Centers for Medicare and Medicaid Services (CMS) has signaled a willingness to evaluate new types of Medicaid proposals from states. Specifically, in March of this year CMS indicated that the agency would consider Medicaid waiver applications that include programs to connect individuals to employment or incorporate features of private market […]

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