- 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
-
Keeping Children's Coverage Strong in the Context of the Affordable Care Act: Perspectives from State Children's Health Insurance Leaders
With passage of the Affordable Care Act, the stakes for children’s coverage perhaps have never been higher. Children potentially have much to gain in coverage for themselves and for their parents. However, they also have much to lose in shifting attention, and in unintended consequences of reforms focused on adults. To examine the options for keeping children’s coverage strong in future, NASHP initiated discussions with CHIP program directors. This brief highlights themes from those discussions, focusing on key considerations for children’s coverage that NASHP and most CHIP directors believe policymakers should take into account in making decisions that may affect children’s coverage.
May 2012» -
CHIP Dental Coverage: An Examination of State Oral Health Benefit Changes as a Result of CHIPRA
Oral health remains a serious concern for the health and well being of children, especially those who are low-income. However, with the passage of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA), all children enrolled in the Children’s Health Insurance Program (CHIP) will have a base level of dental coverage included in their benefit package. This brief provides a summary of the CHIP dental benefit changes under CHIPRA and examines the states that had voluntarily sought federal approval of current benefits, or made changes to their CHIP dental benefits as of September 2011.
Additionally, NASHP wrote a blog post about the dental brief and CHIPRA dental benefit, which is on the Georgetown Center for Children and Families' Say Ahhh! blog.
Blog: Children's Dental Health
By Leigha BasiniDecember 2011» -
Building Electronic Information-Sharing Systems to Support Care Coordination in Illinois
This is the first in a series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This brief focuses on electronic information-sharing systems that Illinois is building or adapting to improve care coordination for children with or at risk of developmental delays. Illinois is poised to improve care coordination by implementing an electronic referral initiation and feedback system. These system changes have implications for information sharing to support care coordination statewide and for other populations.
November 2011» -
The Role of Children's Coverage Programs in a Changing Health Care Landscape: EPSDT, CHIP, and Health Care Reform
With the support of The Commonwealth Fund and the David and Lucile Packard Foundation, in late 2010 NASHP convened an invitational leadership forum on the role of children’s coverage programs in a changing health care landscape. Participants included representatives from state Medicaid EPSDT and CHIP programs, Maternal and Child Health Title V, CMS and other children's health care experts. This brief captures the themes and explores the opportunities and challenges identified in that meeting to lay out a vision for how EPSDT and CHIP can work together to improve health coverage for children in the context of health care reform.
July 2011» -
Charting CHIP IV: A Report on State Children’s Health Insurance Programs
Charting CHIP IV: A Report on State Children’s Health Insurance Programs Prior to Major Federal Policy Changes in 2009 and 2010 is the fourth in a series published by the National Academy for State Health Policy (NASHP) since 1998. The report paints a portrait of state Children’s Health Insurance Programs (CHIP) as they stood in mid 2008, roughly a decade after the federal CHIP program was enacted, a half year before CHIP was reauthorized, and just short of two years before national health reform legislation was enacted. This report examines state program characteristics and policies for both Medicaid expansion (M-CHIP) and separate (S-CHIP) programs in a range of areas, from program structure, to eligibility, outreach and enrollment, to benefits and cost sharing, to service delivery, access and quality.
Download here: Charting CHIP IV:A Report on State Children’s Health Insurance Programs
January 2011 -
Linking Children to Services: Building on Community Assets to Pilot Test Improvement Strategies
The five states participating in the third Assuring Better Child Health and Development (ABCD) learning consortium have gone through an extensive planning process to set the stage for implementation of interventions to improve coordination among providers serving children in pilot communities. This document describes 1) how Arkansas, Illinois, Minnesota, Oklahoma, and Oregon are building on existing local partnerships and assets to organize community pilots, and 2) preliminary lessons that have emerged from these states, including new federal opportunities to bolster community partnerships that will improve service linkages for children.
December 2010» -
Engaging Parents as Partners to Support Early Child Health and Development
Ensuring and coordinating services that support young children's healthy development requires strong and effective partnerships between families and health care providers. This brief puts forth a three-part framework for engaging parents in supporting healthy child development: parents engaging with: 1) their child, 2) the services and programs they receive, and 3) the larger systems and policies that govern those services. It describes each level of engagement, explains why each is critical to improving care coordination and services for young children, and gives examples of how states can incorporate parent partnerships into their work. The framework represents a dynamic structure in which the three types of partnership support and inform each other.May 2010» -
Reimbursing Medical Providers for Preventive Oral Health Services: State Policy Options
Tooth decay, while highly preventable, is the most common chronic disease among children, and it disproportionately affects children from families with low incomes. Many state Medicaid agencies are working to increase children’s access to preventive oral health services by reimbursing primary care medical providers for fluoride varnish application, an oral examination or screening, and/or caregiver education about establishing good oral health habits. This report is intended to help states considering adopting similar policies; it draws from the experiences of Iowa, Minnesota, North Carolina, Utah and Washington to describe some of the major elements of policy design and implementation, as well as lessons learned associated with medical provider reimbursement.February 2010» -
Maximizing Enrollment for Kids: Results from a Diagnostic Assessment of Enrollment and Retention in Eight States
Maximizing Enrollment for Kids, a $15 million initiative of the Robert Wood Johnson Foundation (RWJF) launched in June 2008 and directed by the National Academy for State Health Policy (NASHP), aims to increase enrollment and retention of eligible children into Medicaid and CHIP programs and to establish and promote best practices among states. In this first year of the Maximizing Enrollment for Kids program NASHP collaborated with Health Management Associates (HMA) to conduct a baseline assessment of each grantee states’ policies and processes for enrolling and retaining children in coverage. The findings of these assessments provide a foundation for the work of these states over the next three years to improve enrollment of eligible children.
February 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»
