- 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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What a Difference a Dollar Makes: Affordability Lessons From Children's Coverage Programs
States are responsible for on the ground implementation of the Affordable Care Act (ACA), including expanding coverage options through Exchanges and other health insurance programs. This brief examines the affordability of current children's coverage options and coverage under ACA. It also draws on lessons from the Children's Health Insurance Program, which can serve as a model for states as they implement affordability provisions in ACA.
April 2011» -
Managing the "T" in EPSDT Services
The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program is the child health component of Medicaid. Despite EPSDT’s broad benefits, studies and state policymakers’ experience suggest that not all children are receiving the services to which they are entitled. While many stakeholders understand the requirements that define EPSDT well child visits (commonly called screening visits) and their importance to supporting and promoting child health, the requirements that define EPSDT coverage for treatment (the “T” in EPSDT) are not as well understood. This brief explores states efforts and opportunities to improve access to treatment services in EPSDT.June 2010» -
Health Care of Children in Foster Care: Who's Keeping Track?
According to the data from the Administration on Children Youth and Families there are an estimated 600,000 children residing in foster care in our country. Each of these children enter foster care with a background of abuse or neglect sufficient to warrant being removed from their families. The children entering care present complex medical and emotional conditions that are taxing the capacity and the ability of the foster care system.
October 1997» -
The Health Insurance Portability and Accountability Act of 1996: A Guide for State Action
The purpose of this paper is to highlight the major issues that states have considered and will consider in their current and upcoming legislative sessions regarding insurance reform and implementation of the Health Insurance Portability and Accountability Act (HIPAA). This paper explains, in brief, what changes are included in HIPAA and what effect they have had and will have on states. The paper also highlights issues that were not addressed in HIPAA, but that remain at the forefront of reform for many states. Remaining questions about HIPAA and its impact are included.
September 1997» -
Flesh Or Bones? Early Experience of State Limited Benefit Health Insurance Laws
As one means of reducing health insurance premiums, since 1990 about half of the states have enacted laws waiving mandated benefits for health insurance plans sold to small groups and/or individuals. This study reviewed the laws and early experience in eight states where plans have been on the market in 1990 and 1991.
August 1992» -
State Policymakers’ Priorities for Improving the Health System
This State Health Policy Briefing presents the issues identified by NASHP’s state leadership as their most significant priorities for improving their health systems. As Academy members discussed their priorities, a set of broader themes emerged. These larger policy goals are: Connect People to Needed Services; Promote Coordination and Integration in the Health System; Improve Care for Populations with Complex Needs; Orient the Health System toward Results; Increase Health System Efficiencies. This briefing also provides a more detailed list of states’ priorities presented in four major categories of state health policy: Coverage and Access; Health Systems Improvement; Special Services and Populations; and Long Term and Chronic Care.November 2009 -
A State Policymakers’ Guide to Federal Health Reform - Part I: Anticipating How Federal Health Reform will Affect State Roles
Many critical aspects of federal health reform will be implemented by the states. Through program design, regulations, policies and practices, state decisions and actions already play a profound role in shaping the American health care system. Both the House and Senate reform proposals would dramatically change the federal structure within which state health policy operates. Part I of this State Policymakers’ Guide provides a high-level view of existing state roles in the health care system and how federal reform will affect those roles.November 2009» -
Models for Change Fact Sheet Series: An Overview of Louisiana's Medicaid and SCHIP Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. As of January 2008, 1,007,188 adults and children were covered under Louisiana’s Medicaid and State Children’s Health Insurance Program (SCHIP). Louisiana operates its SCHIP program as an expansion of Medicaid. There were 891,451 people enrolled in the Medicaid program and 115,737 children enrolled in SCHIP. In federal fiscal year 2005, approximately $5.3 billion was spent for Medicaid services in Louisiana, and an additional $126 million was spent for SCHIP services. (These figures include spending for both adults and children.) The federal government supplied 71 percent of the funding for Medicaid and 80 percent of the funding for SCHIP.August 2008 -
Models for Change Fact Sheet Series: An Overview of Washington's Publicly Funded Health Insurance Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. As of November 2007, 998,584 adults and children were covered under Washington’s Medicaid program and State Children’s Health Insurance Program (SCHIP). Washington operates its SCHIP program separately from Medicaid. The state also uses state-only funding to provide a low-cost health insurance option to adult residents. In federal fiscal year 2005, approximately $5.7 billion was spent for Medicaid services in Washington, and an additional $51 million was spent for SCHIP services. (These figures include spending for both adults and children.) The federal government supplied 51 percent of the funding for Medicaid and 65 percent of the funding for SCHIP.August 2008 -
Improving Access to Health Coverage for Transitional Youth
Youth in the juvenile justice and foster care systems often share many traits: a history of abuse or neglect, mental health and substance abuse needs, low incomes, and likely eligibility for public insurance programs. For both populations, custody transitions provide an opportunity to screen youth for Medicaid and State Children’s Health Insurance Program (SCHIP) eligibility. This paper describes ways for states to expand Medicaid and SCHIP eligibility to youth in the juvenile justice and foster care systems; key transition points for these youth; and opportunities to better enroll and keep them in programs that encourage healthy growth and development.July 2008
