- 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
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- 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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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» -
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 -
State Policy Improvements that Support Effective Identification of Children At Risk for Developmental Delay
The success of the ABCD Initiative provides lessons for states and other entities wishing to improve the quality of health care while controlling costs and improving efficiency. Identifying and implementing key processes to improve state policies affecting screening in primary care are the focus of this brief. ABCD states changed state statutes, state regulations, contracts, provider manuals, Web sites, and other documents that define state policies designed to improve the delivery of child development services.March 2009 -
State Policy Improvements that Support Effective Identification of Children At-Risk for Developmental Delay
The success of the ABCD Initiative provides lessons for states and other entities wishing to improve the quality of health care while controlling costs and improving efficiency. Identifying and implementing key processes to improve state policies affecting screening in primary care are the focus of this brief. ABCD states changed state statutes, state regulations, contracts, provider manuals, Web sites, and other documents that define state policies designed to improve the delivery of child development services.March 2009 -
A New Approach To The State-Federal Relationship In Health
The dynamics of this important relationship must change, even before major reform proposals are put forward or enacted. Federal health policy making is too often shaped by mistrust of states on fiscal and programmatic matters. The current approach of micromanaging state decisions undermines the dynamism necessary to administer and improve Medicaid. The new Obama administration should commit to healing the state-federal relationship through greater policy transparency and by developing a robust, performance-oriented approach to Medicaid program oversight. The administration should undertake additional joint federal-state efforts to address other health policy priorities. These steps would lay a stronger platform on which efforts for comprehensive health reform can be built. [Health Affairs 28, no. 2 (2009): w188–w193]January 2009 -
Federal Community Health Centers and State Health Policy: A Primer for Policy Makers
Federally funded community health centers connect 16 million people throughout the U.S. and its territories with primary health care services and form much of the fabric of the country’s health care safety net. Although the federal community health center program was initiated with very little state input and involvement more than 40 years ago, this relationship is changing. The ties between state governments and health centers have grown over the years as states have worked to increase coverage and access to care, and as the health centers’ dependence on state Medicaid payments and grants has increased. This overview of federally funded community health centers is intended to help inform state policy decision making as it affects health centers, including ways that policy makers can work with health centers as an important component of their state’s health delivery system and reform plans.June 2008 -
State Policy Options to Improve Delivery of Child Development Services: Strategies from the Eight ABCD States
Since 2000, the National Academy for State Health Policy (NASHP) and The Commonwealth Fund have conducted two state learning consortia dedicated to improving the delivery of child development services to young children who are Medicaid beneficiaries. The work of the states involved in the Assuring Better Child Health and Development (ABCD) initiative has shown that state policies, especially Medicaid policies, can effectively promote improvements in the quality of preventive and developmental services provided to young children. This report provides a starting point for states seeking to identify and implement policy improvements to achieve two main objectives:December 2006 -
ABCD: Lessons from a Four-State Consortium
This report summarizes the lessons learned from a four-state collaborative concerned with strengthening the capacity of the health care system to support the early development of children from low-income families. The consortium was the first effort in the Assuring Better Child Health and Development (ABCD) initiative conducted by NASHP. The report details both the significant accomplishments of the four states and the challenges they faced in their efforts to strengthen early childhood development services.December 2003» -
State Responses to the Problem of Medical Errors: An Analysis of Recent State Legislative Proposals
This report analyzes the 61 medical error-related bills introduced by state policy makers in 2001. It also provides up-to-date information on bills introduced or enacted during the 1999 and 2000 sessions, including information on how states are implementing laws enacted in 1999 and 2000. State proposals to reduce medical errors fall into eight categories, reflecting the key strategies state policy makers are using to address the problem in their respective jurisdictions. These strategies include: system-wide analysis; reporting systems; conditions of licensure; medication error reduction; minimum staffing requirements; financial incentives; appropriations; and public disclosure requirements.February 2002»
