- 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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Building Partnerships: State Officials and Advocates Working on Health Reform
In March 2011, state officials and consumer advocates from nine southern states came together to discuss health reform implementation and ways to work together. The meeting was convened by NASHP, in collaboration with Community Catalyst, and funded by the Public Welfare Foundation. This paper highlights themes from this meeting, including lessons learned in building stronger or more effective relationships between these groups and ways to work together as health care reform implementation proceeds at the state level.
June 2011» -
Paving an Enrollment Superhighway: Bridging State Gaps Between 2014 and Today
The Affordable Care Act (ACA) provides a transformative vision for eligibility and enrollment in public and publicly subsidized health coverage: an enrollment superhighway that is streamlined, modern, seamless, integrated, easy for consumers to use, and connects Medicaid, CHIP and Exchange coverage. This vision contrasts sharply with most states’ welfare-era, paper-based systems that rely on complex eligibility rules and outdated technologies. This paper frames ACA’s vision and discusses gaps between 2014 and today and opportunities to close these gaps in four key areas: 1) Consumer Experience; 2) Eligibility and Enrollment Policy; 3) Technology and Systems Infrastructure; and 4) Governance and Administration.
Supported by the California HealthCare Foundation, based in Oakland, California.
March 2011» -
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» -
State Policymakers’ Priorities for Successful Implementation of Health Reform
As states assess the challenges and opportunities presented by federal health reform legislation, there is a natural tendency to focus on the most immediate issues, but it is equally important that states begin planning for the many aspects of implementation that occur in later years. This State Health Policy Briefing identifies and describes ten aspects of federal health reform that states must get right if they are to be successful in implementation. States that pursue the ten critical elements identified in this brief will have the greatest chance of achieving the goals embodied in the federal health reform law.May 2010» -
How Far Can States Take Health Reform?
State-based health reform will achieve much more if it occurs in the context of a national strategy. Expectations for state leadership in health reform have never been higher. States are thought to function as “laboratories of democracy,” but they do not fulfill this role effectively because insufficient attention is paid to experimentation and knowledge translation. Congressional proposals to encourage state action cover too narrow a span of state health policy, do not provide states with sufficient authority to tackle major health policy challenges, and supply insufficient funding. This paper concludes with a description of a more robust state-federal partnership that would be more likely to yield substantial health reform. [Health Affairs 27, no. 3 (2008): 736–747; 10.1377/hlthaff.27.3.736]January 2008»
