- 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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States, Primary Care and Health Centers: Fostering Delivery System Changes
NASHP convened a June 2011 forum in Denver, Colorado, that brought together state and federal officials, primary care offices and associations and other key partners to learn from Colorado’s efforts and discuss health centers’ roles and challenges in delivery system reform. This report frames key issues, themes and recommendations that emerged from the forum for states and health centers to support effective delivery system models providing integrated care for vulnerable populations.
November 2011» -
Using Geographic Information to Target Health Disparities: State Experience
This brief describes how two states, Rhode Island and Virginia, have used particular data collection techniques along with Geographic Information Systems (GIS) to analyze and map race and ethnicity data. Virginia uses GIS with multi-level spatial analysis, while Rhode Island uses GIS in conjunction with Community Based Participatory Research (CBPR). This brief, prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ), also discusses how both states utilize these techniques to target interventions aimed at reducing disparities. View the full report here.
September 2011» -
Reducing Racial and Ethnic Disparities Through Health Care Reform: State Experience
The Patient Protection and Affordable Care Act of 2010 (ACA) provides an opportunity for states to reduce racial and ethnic disparities in health and health care. As states roll out health care reform implementation, they can use disparities data to inform their actions. This issue brief was prepared by NASHP for the Agency for Healthcare Research and Quality (AHRQ). It provides examples of how states can integrate health equity into health care reform and insurance exchange implementation.
August 2011» -
Building Partnerships: State Officials and Advocates Working on Health Reform
In March 2011, state officials and consumer advocates from nine southern states came together to discuss health reform implementation and ways to work together. The meeting was convened by NASHP, in collaboration with Community Catalyst, and funded by the Public Welfare Foundation. This paper highlights themes from this meeting, including lessons learned in building stronger or more effective relationships between these groups and ways to work together as health care reform implementation proceeds at the state level.
June 2011» -
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» -
Medicaid's Role in the Health Benefit Exchange: A Road Map for States
State Medicaid programs are well positioned to serve multiple roles in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). Looking ahead to 2014, Medicaid will be both an option in the continuum of health insurance coverage and an essential partner in developing, governing, and operating each state’s new health benefit exchange. This paper highlights opportunities for states to support and expand Medicaid’s current role in planning new state Exchanges in eligibility, enrollment and outreach; health plan standards and requirements; benefit package design; and infrastructure: governance, operations and finance.
March 2011» -
Paving an Enrollment Superhighway: Bridging State Gaps Between 2014 and Today
The Affordable Care Act (ACA) provides a transformative vision for eligibility and enrollment in public and publicly subsidized health coverage: an enrollment superhighway that is streamlined, modern, seamless, integrated, easy for consumers to use, and connects Medicaid, CHIP and Exchange coverage. This vision contrasts sharply with most states’ welfare-era, paper-based systems that rely on complex eligibility rules and outdated technologies. This paper frames ACA’s vision and discusses gaps between 2014 and today and opportunities to close these gaps in four key areas: 1) Consumer Experience; 2) Eligibility and Enrollment Policy; 3) Technology and Systems Infrastructure; and 4) Governance and Administration.
Supported by the California HealthCare Foundation, based in Oakland, California.
March 2011» -
Re-Forming Health Care Delivery Systems: A Summary of a Forum for States and Health Centers
In June 2010, the National Academy for State Health Policy (NASHP) convened a forum to examine evolving model approaches as well as surface new strategies that could be promoted with federal and state policymakers, foundations and the health center community to help progression toward reformed health systems. This paper presents the vision laid out at the forum for a transformed delivery system. In addition, it offers specific examples of organizations, regions and states that are designing and implementing approaches aligned with this vision, and outlines the strategies identified by participants as important in moving towards a reformed delivery system.
March 2011» -
Health Insurance Exchange Basics
State health insurance exchanges are a key feature of the Affordable Care Act. This brief sets forth the major requirements for exchanges as described in the federal law. These requirements fall into four categories: administration and governance, insurance plan oversight, interactions with consumers, and information transfer and availability.
The Affordable Care Act requires the Secretary of the Department of Health and Human Services to issue regulations in several critical areas relevant to the exchange. States should anticipate future guidance and regulation by the federal government and be prepared to take these regulations into account in their planning.
February 2011» -
On the Road to Better Value: State Roles in Promoting Accountable Care Organizations
States are keenly aware of the need to create more coherent and value-driven systems of care through improved payment and delivery systems. The accountable care organization (ACO) model has received increased attention as a mechanism to promote better value in health care spending. This report examines the development of the ACO model in seven states, highlighting five key areas in which states have played a role in supporting the development of the ACO model. It is intended to provide policymakers with information that can stimulate further innovation as states consider using the ACO model within their own health care systems.
February 2011»
