- 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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State Strategies to Improve Quality and Efficiency: Making the Most of Opportunities in National Health Reform
There is an acknowledged need for extensive reform to the health care delivery system in the United States. The Patient Protection and Affordable Care Act offers unprecedented opportunities to transform care delivery, with numerous provisions that support systemic improvements. States have an imperative to greatly improve system efficiency if they are to effectively and sustainably implement the law’s changes, particularly mandatory coverage expansion. This report examines specific Affordable Care Act provisions that support state system improvement goals and profiles efforts in 10 states: Colorado, Kansas, Maine, Massachusetts, Minnesota, Oregon, Pennsylvania, Rhode Island, Vermont, and Washington. The report highlights the opportunities and challenges that federal health care reform will bring and offers suggestions for how state and national leaders can streamline implementation.
December 2010» -
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» -
State Policymakers’ Priorities for Improving the Health System
This State Health Policy Briefing presents the issues identified by NASHP’s state leadership as their most significant priorities for improving their health systems. As Academy members discussed their priorities, a set of broader themes emerged. These larger policy goals are: Connect People to Needed Services; Promote Coordination and Integration in the Health System; Improve Care for Populations with Complex Needs; Orient the Health System toward Results; Increase Health System Efficiencies. This briefing also provides a more detailed list of states’ priorities presented in four major categories of state health policy: Coverage and Access; Health Systems Improvement; Special Services and Populations; and Long Term and Chronic Care.November 2009» -
Supporting State Policymakers’ Implementation of Federal Health Reform
States will have enormous short-term and long-term needs for assistance as they grapple with federal health reform legislation. Significant federal and private resources to support state-level implementation will be necessary. Implementation support must be defined and coordinated quickly. Technical assistance must be provided in a manner that corresponds with state needs. State officials should be involved in the design of technical assistance so that it is most effective given varied state circumstances, needs, and capacities. Technical assistance should inspire innovation among leaders even as it helps all states meet minimum standards of performance.November 2009» -
A State Policymakers’ Guide to Federal Health Reform - Part I: Anticipating How Federal Health Reform will Affect State Roles
Many critical aspects of federal health reform will be implemented by the states. Through program design, regulations, policies and practices, state decisions and actions already play a profound role in shaping the American health care system. Both the House and Senate reform proposals would dramatically change the federal structure within which state health policy operates. Part I of this State Policymakers’ Guide provides a high-level view of existing state roles in the health care system and how federal reform will affect those roles.November 2009» -
Models for Change Fact Sheet Series: An Overview of Louisiana's Medicaid and SCHIP Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. As of January 2008, 1,007,188 adults and children were covered under Louisiana’s Medicaid and State Children’s Health Insurance Program (SCHIP). Louisiana operates its SCHIP program as an expansion of Medicaid. There were 891,451 people enrolled in the Medicaid program and 115,737 children enrolled in SCHIP. In federal fiscal year 2005, approximately $5.3 billion was spent for Medicaid services in Louisiana, and an additional $126 million was spent for SCHIP services. (These figures include spending for both adults and children.) The federal government supplied 71 percent of the funding for Medicaid and 80 percent of the funding for SCHIP.August 2008» -
Models for Change Fact Sheet Series: An Overview of Pennsylvania's Publicly Funded Insurance Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials.August 2008 -
Models for Change Fact Sheet Series: An Overview of Washington's Publicly Funded Health Insurance Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. As of November 2007, 998,584 adults and children were covered under Washington’s Medicaid program and State Children’s Health Insurance Program (SCHIP). Washington operates its SCHIP program separately from Medicaid. The state also uses state-only funding to provide a low-cost health insurance option to adult residents. In federal fiscal year 2005, approximately $5.7 billion was spent for Medicaid services in Washington, and an additional $51 million was spent for SCHIP services. (These figures include spending for both adults and children.) The federal government supplied 51 percent of the funding for Medicaid and 65 percent of the funding for SCHIP.August 2008 -
Models for Change Fact Sheet Series: An Overview of Illinois Medicaid and SCHIP Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. Illinois integrates operation of its State Childrens Health Insurance Program (SCHIP) with Medicaid funded and state-only programs. As of December 2006, there were 1,873,000 adults and children enrolled in the Medicaid program, and as of June 2007 there were 175,145 children enrolled in SCHIP. In federal fiscal year 2005, Illinois made approximately $10.8 billion in Medicaid expenditures and $494 million in SCHIP expenditures. (These figures include spending for both adults and children.) The federal government supplied 50 percent of the funding for Medicaid expenditures and 65 percent for SCHIP expenditures.August 2008»
