- 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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Managed Care for Low Income Elders Dually Eligible for Medicaid and Medicare
Low income older people are frequently eligible for both Medicare and Medicaid. Approximately six million Medicaid beneficiaries also participate in the Medicare program. Dual eligibles are aged, blind or disabled individuals who qualify for both Medicare and Medicaid. Most, but not all, SSI beneficiaries and Medically Needy Medicaid beneficiaries also participate in Medicare. This paper focuses on elderly dually eligible beneficiaries.
June 1997» -
Presumptive Eligibility for Pregnant Women
Early prenatal care plays a critical role in the health of pregnant women and their babies. Access to early prenatal care can lead to better birth outcomes, healthier babies, and reduced health care costs. Presumptive eligibility in Medicaid has become an important strategy for improving access to prenatal care for low-income pregnant women. Presumptive eligibility is an option that states can use to allow authorized providers to begin treating pregnant women when they first seek prenatal care rather than several weeks later after a final determination has been made regarding their Medicaid eligibility.December 2008 -
State Efforts to Cover Low-Income Adults Without Children
Most Americans assume that our health insurance safety net covers the poor, regardless of family status. In reality, a majority of uninsured Americans are low-income, childless adults who are not eligible for public health insurance programs. Out of the approximately 47 million people who are currently uninsured in the United States, 34 percent or 16 million people, are low-income childless adults.September 2008 -
SCHIP and Adolescents: An Overview and Opportunities for States
Over the past decade, the State Children’s Health Insurance Program (SCHIP) has made great strides in increasing health care coverage among youth under age 19. However, this overall success masks an important disparity – adolescents are more likely to be uninsured than younger children. As state policy makers and program administrators seek to build on their successes to reach more of those eligible for SCHIP, special attention should be paid to adolescents. SCHIP coverage can not only improve teens’ health, but can reduce the burdens of chronic disease in adulthood.May 2008 -
A Medicaid Primer for Juvenile Justice Officials
Juvenile justice agencies face a significant challenge meeting the health needs of the youth in their systems. Medicaid, which provides health coverage to more than half of all low-income children in this country, can be a vital partner in juvenile justice reform efforts. However, coordination between juvenile justice systems and state Medicaid programs can be much improved. It may help many juvenile justice officials to learn more about Medicaid and how it can be used to improve their programs and the lives of the young people they work with. The purpose of this State Health Policy Briefing is to provide those who work with system-involved youth with an introduction to Medicaid and its key concepts, as they pertain to the juvenile justice system.April 2008 -
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 -
Medicaid Family Planning Demonstrations: Design Issues and Resources for States
Since the mid-1990s, 26 states have implemented Medicaid Section 1115 family planning demonstration waivers to help low-income women avoid unintended pregnancy and improve child and maternal health outcomes. These waivers have saved states millions of dollars. The waiver programs, which require approval from the Centers for Medicare and Medicaid Services (CMS), provide access to family planning services for individuals not otherwise eligible for Medicaid or the State Children’s Health Insurance Program (SCHIP). This State Health Policy Briefing is the third is a NASHP series examining Medicaid family planning demonstration waivers. It explores some of the design choices states face when applying for and implementing a waiver – choices about whom the program should cover, how it should cover them, and how states can ensure that clients receive the services they need.December 2007 -
Improving Oral Health Care for Young Children
This paper focuses on the policy, financing, and workforce challenges that must be addressed to improve access to oral health care for young children, particularly those that are underserved at present. Until recently, little attention has been given to ensuring that the oral health needs of young children are met before they enter school. This is a serious omission, since dental problems are the most common unmet need among children.April 2007 -
Meeting the Health Needs of Youth Involved in the Juvenile Justice System
Nearly 100,000 young people are in juvenile justice facilities of some sort on any given day, with more than 2 million arrested in a year. Of those in residential settings, 62 percent are minorities, 85 percent are boys, and many, if not most, lack adequate health insurance coverage. Youth in juvenile justice facilities – including detention centers, shelters, diagnostic centers, group homes, wilderness programs, residential treatment facilities and training schools (where most juveniles are committed) – suffer disproportionately from a host of mental and physical health problems. The presence and severity of health problems may help explain the behaviors that led to their involvement in the criminal justice system and make it critical they receive the appropriate medical services both in the system and upon their release. Most of those arrested do not end up at trial.September 2006 -
How States are Working with Physicians to Improve the Quality of Children’s Health Care
This report examines how state agencies and medical providers are working together to improve the quality of health care for children, particularly for those who are underserved and members of at-risk populations. The paper discusses the roles that states can play in supporting provider efforts to improve the quality of children’s health care, and it offers detailed profiles of five models for doing so: • Learning collaboratives, • Modified learning collaboratives, • Practice-based seminars, • Off-site workshops, and • Models that use technology. The report concludes by summarizing the lessons that states – and their partners – have learned from these efforts.April 2006
