- 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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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 -
The Affordable Care Act and Children with Special Health Care Needs
The Affordable Care Act (ACA) provides states with some important tools that can be utilized to provide more continuous, adequate and affordable coverage for children with special health care needs (CSHCN). How the law is interpreted and whether implementation challenges are addressed with the unique needs of CSHCN in mind will shape how well the ACA fulfills its promise to this vulnerable population. This paper developed by the National Academy for State Health Policy (NASHP) for the Catalyst Center at Boston University reviews and analyzes key provisions of the ACA relevant for CSHCN and provides suggestions for state policymakers.
Download here: The Affordable Care Act and Children with Special Health Care Needs
January 2011 -
Help Wanted: A Policymaker’s Guide to new Dental Providers Issue Brief
Access to dental care is an increasingly serious problem for many people in the United States, particularly for children. There is a shortage of private dentists and a limited availability of affordable, or government-supported dental care. This is further compounded by the small number of private dentists willing to participate in public health insurance programs, or treat young children and other underserved populations, especially in rural areas.May 2009 -
Public Payer Medical Home Initiatives
The National Academy for State Health Policy (NASHP) and the Patient Centered Primary Care Collaborative (PCPCC) have partnered on a one-year project to advance medical homes in state Medicaid and CHIP (Children Health Insurance Program). Supported by The Commonwealth Fund, this project includes a series of three web seminars and accompanying State Health Policy Briefings that discuss strategies for states to consider when supporting practices in fulfilling their role as a medical home. This brief is the third and follows the web seminar State Roles in Multi-Payer Medical Home Pilots, held on November 12, 2008.April 2009 -
The CMS August 2007 Directive: Implementation Issues and Implications for State SCHIP Programs
This State Health Policy Briefing discusses the August 17, 2007 letter from the Centers for Medicare and Medicaid Services (CMS), which has major implications for the State Children’s Health Insurance Program (SCHIP) and children’s health coverage. Among states and advocates alike, there is concern that aspects of the directive work against achieving the goals of SCHIP and the broader purpose of assuring that children have health coverage and access to quality care.April 2008 -
SCHIP at 10: Progress and Results
This fact sheet briefly explores some of the choices states have made in program design over the past ten years, the success achieved in enrollment and helping to reduce the uninsured, and the improved results in access to care and health outcomes for children with SCHIP coverage.March 2007» -
Building Better Systems for Child and Adolescent Mental Health Highlights from a meeting convened by the Association of Maternal and Child Health Programs (AMCHP) and the National Academy for State Health Policy (NASHP)
This paper summarizes the results of a meeting convened as a means of engaging state, federal, provider, and consumer experts from the child mental health and maternal child health fields in a conversation about how to develop stronger collaborative approaches to improve systems for child and adolescent mental health. The meeting was based on the premise that meeting child and adolescent mental health needs requires a continuum of services. This continuum includes promotion of social and emotional health and development, as well as prevention, early intervention, and care for mental health conditions affecting children and adolescents. While the discussion broadly considered the continuum of services for child and adolescent mental health, it had a strong focus on the promotion and prevention end of the continuum.January 2007 -
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 -
Charting SCHIP III: An Analysis of the Third Comprehensive Survey of State Children’s Health Insurance Programs
This report examines the policies and strategies that states use to manage their State Children’s Health Insurance Programs (SCHIP). It draws on information collected through a series of three surveys that NASHP conducted between 1998 and 2005. The most recent survey examined SCHIP programs as of July 31, 2005. Charting SCHIP III examines findings in program areas such as program design, management, eligibility, application and renewal processes, marketing and outreach, cost sharing, benefits, delivery of services, managed care plan selection and payment, and access and quality. The report also includes the survey instruments used in the 2005 survey.
Download here: Charting SCHIP III: An Analysis of the Third Comprehensive Survey of State Children’s Health Insurance Programs
September 2006» -
States' Limits and Options for Preserving and Expanding Children’s Access to Private Health Insurance Coverage
Published in May 2006, this fact sheet was originally prepared for the NASHP symposium on child health coverage that was held in March. It discusses challenges and opportunities for providing coverage through private health insurance options.May 2006»
