- 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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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 -
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» -
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» -
Building on Success to Effectively Integrate Current Children’s Coverage with National Health Reform: Ideas from State CHIP Programs
This State Health Policy Briefing was developed by the National Academy for State Policy (NASHP) with state Children Health Insurance Program (CHIP) directors as well as other state officials working toward covering all children. The brief discusses key considerations for policy makers and stakeholders working on national health reform to sustain gains and support further improvement efforts for children’s coverage now underway through both CHIP and Medicaid. This briefing highlights CHIP successes and lessons learned in covering children that national health reform should build on and integrate so it is successful for children as well as adults. Additionally, this briefing includes options for assuring a smooth transition for the 14.1 million children and pregnant women expected to be covered by CHIP during 2013, but who may be moved either to exchange plans or Medicaid under proposals pending in Congress.August 2009» -
SCHIP Buy-In Programs
This brief examines key elements of the seven state SCHIP buy-in programs in operation in 2005. The buy-in programs are designed to fill a coverage gap created when children leave the SCHIP program due to loss of financial eligibility and then become uninsured because their families do not have access to employer coverage or cannot afford private coverage.May 2006»
