- 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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Public Insurance Programs and Children with Special Health Care Needs, A Tutorial on the Basics of Medicaid and the Children’s Health Insurance Program
This tutorial on the basics of Medicaid and CHIP is a collaboration of NASHP and the Catalyst Center: Improving Financing of Care for Children and Youth with Special Health Care Needs (CSHCN). The tutorial gives a broad overview of Medicaid and CHIP, the many different populations these programs serve, the changes they are undergoing as a result of health care reform and some options to help readers think about opportunities to improve services for CSHCN through communication and collaboration with Medicaid and CHIP staff. The tutorial starts with an overview of how definitions of CSHCN may vary by agency or program, followed by eight major topic areas and then recommendations for steps Title V programs can take to build successful partnerships with public insurance programs.
February 2012» -
Building Medical Homes: Lessons from Eight States with Emerging Programs
States are seeking to strengthen primary care through the medical home model to achieve better outcomes and lower costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of medical home programs. The states have drawn on both well-tested approaches and innovative tactics to help primary care providers adopt the model. As a whole, their experiences demonstrate that states can play critical roles in convening stakeholders, helping practices improve performance, and addressing antitrust concerns that arise when multiple payers collaborate.
December 2011» -
NASHP Report: Health IT, Quality Reporting and Medicaid Well Child Benefits: An Assessment of Progress and Potential in the District of Columbia
Recent developments indicate the emergence of a national framework for quality oversight and improvement in children’s health. Concurrently, investment in health information technology and exchange is creating state HIT/HIE infrastructure based on EHR-driven clinical data capacity. This report, commissioned by the United States District Court for the District of Columbia, details the opportunities available to the District of Columbia – and potentially other states as well - to use this emerging quality framework and HIT/HIE infrastructure to enhance the quality and oversight of Medicaid EPSDT benefits.
July 2011» -
Developing Federally Qualified Health Centers into Community Networks to Improve State Primary Care Delivery Systems
By fostering connections between federally qualified health centers (FQHCs) and other private primary care providers, states may be able to connect Medicaid beneficiaries with services needed to help them manage their health and reduce costly visits to hospitals. FQHCs’ mandate to provide a comprehensive scope of primary and preventive health care and support services, coupled with access to federal funds, gives them expertise and resources that might be leveraged in collaborative relationships with states and private practices. FQHCs may find many advantages in these partnerships as well.
May 2011» -
Medicaid and CHIP Children's Healthcare Quality Measures: What States Use and What They Want
This article, written by NASHP Managing Director Catherine Hess and former NASHP Program Director Sarah deLone, draws from responses to NASHP’s Charting CHIP IV survey, supported by the David and Lucile Packard Foundation, and from analytic work supported by the Agency for Healthcare Research and Quality (AHRQ) to inform AHRQ’s Children’s Healthcare Quality Measures Subcommittee. The article is published in the CHIPRA Supplement of Academic Pediatrics (Volume 11, No. 3S, May-June 2011).
Medicaid and CHIP Children's Healthcare Quality Measures: What States Use and What They Want
May 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» -
Making Connections: Medicaid, CHIP, and Title V Working Together on State Medical Home Initiatives
The medical home model–an approach to offering excellent primary care–is gaining momentum. A wide range of stakeholders are now embracing medical homes, and the Affordable Care Act has dedicated resources to developing and spreading the model. In this context, states have been leaders in building medical homes – especially for vulnerable populations. Several of the most promising state medical home initiatives have entailed interagency collaboration. This report details best practices and policy considerations for collaborative medical home building in four areas: laying foundations for partnership, and then working together to engage patients and families, engage health care providers and practices, and build strong systems of care.
September 2010 -
Service Delivery Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System
NASHP, with the support of the John D. and Catherine T. MacArthur Foundation, is working with Models for Change grantee organizations and state policymakers to address the health needs of youth in the juvenile justice system. This issue brief from NASHP is the final in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to service delivery and continuity of care policies for juvenile justice-involved youth.August 2010» -
Electronic Enrollment of Newborns into Medicaid: Insights from Oklahoma
This issue brief highlights the state of Oklahoma, which recently implemented an electronic enrollment system for newborn children in its hospitals. By replacing a paper-based enrollment process with an electronic system, Oklahoma has been able to improve efficiency and program analysis, streamline billing, facilitate the establishment of medical homes, and reduce administrative costs.June 2010» -
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»
