- 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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Guide to Assisted Living and State Policy
The 1995 edition of the Academy's Guide to Assisted Living and State Policy builds upon the 1992 publication. We have expanded the scope to include all states we can identify that have a program or licensure category called assisted living. We have tried to analyze how states are developing and implementing assisted living to develop a model, if not a definition, that differentiates the term from board and care and other equivalent supportive housing or housing with services models. The Guide includes a narrative discussion of state policy directions and a summary of each state's statute, regulations or process for designing state policy.
May 1995» -
Less Federal Funding for Medicaid: Is State Flexibility the Answer?
Opportunities and Concerns
This paper is intended to help policymakers consider the implications of reduced rates of Federal funding for Medicaid from a perspective of state implementation. We reviewed the experience of states in implementing earlier block grants and considered how states might administer a smaller Medicaid program. The paper identifies what kind of flexibility from Federal laws and regulations states might require to respond to slowed growth in Federal Medicaid expenditures.
To assist us in developing this paper, we convened a Medicaid Summit with leading health policy officials from the Executive and Legislative branches of state governments.
April 1995» -
Federally Qualified Health Centers and State Health Policy: A Primer for California
California's federally qualified health centers (FQHCs) and "look-alikes" treat more than 2.3 million patients each year. With fewer providers serving Medi-Cal beneficiaries and the uninsured, FQHCs have become an even more vital source of primary care for millions of Californians.
Despite cutbacks in state and local funding, a new report by the National Academy for State Health Policy finds California has an opportunity to improve the performance and sustainability of FQHCs by integrating technology, adapting to changes in health policy, and tapping new sources of funding.
The issue brief covers the following topics:July 2009 -
The Role of Federally Qualified Health Centers in State-led Medical Home Collaboratives
The medical home is a model of care that is taking root in both public and private payer programs in an effort to improve quality, control costs and increase both patient and provider satisfaction. Since 2006, more than 30 states have been leading efforts to advance medical homes in their Medicaid and Children’s Health Insurance Program (CHIP). Several states are leading multi-payer medical home collaboratives to spread this model in the private sector.June 2009 -
Examining a Major Policy Shift: New Federal Limits on Medicaid Coverage for Children
This State Health Policy Briefing explores recent decisions by the Centers for Medicare and Medicaid Services (CMS) which have serious implications for states striving to expand health coverage for children. Download available here.April 2008 -
Administering a Medicaid + Tax Credits Initiative
A joint publication of the Health Insurance Reform Project at The George Washington University and the National Academy for State Health Policy For the past several years, there has been interest in proposals that would cover the uninsured through a combination of new federal health insurance tax credits and expansion of state Medicaid and State Children’s Health Insurance (SCHIP) programs. Joining these two approaches may be the only way to reach an enactable compromise.February 2007 -
Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity
This paper breaks new ground in crafting options to improve the relationship between states and the federal government in financing Medicaid. The paper explores the greatly different perceptions of the problem from the state and federal perspectives, and lays out a framework to improve fiscal integrity so policy makers can save their administrative time and energy for operating these critical and complex programs. The paper is a product of the NASHP Fiscal Integrity Project, which brought together participants with different perspectives to find common ground and generate ideas about improving Medicaid fiscal integrity.August 2006 -
Summary Brief – Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity
This is a summary brief of the paper Moving Beyond the Tug of War: Improving Medicaid Fiscal Integrity. The full paper presents options to improve the relationship between states and the federal government in financing Medicaid. It expands on the history of state financing mechanisms and federal responses by positing a new reality in which states have clear rules to follow and the federal government applies them fairly and consistently across states.August 2006 -
Making Medicaid Work for the 21st Century: Analyzing the Impact of Adjusting the Federal Medical Assistance Percentage to Improve the Countercyclical Impact
One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses three groups of alternatives that would amend the present federal medical assistance percentage (FMAP).January 2005
