- 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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Reforming Health Care Delivery Through Payment Change And Transparency: Minnesota’s Innovations
In 2008 Minnesota passed landmark legislation containing provisions to collect and report data to achieve price and quality transparency, as well as provisions to support care redesign and payment reform. This report illustrates several key achievements and the challenges Minnesota faces in implementing these reforms. It also derives lessons from the process of passing legislation, the content and potential impact of the package, and its replicability that are useful to other states working on similar reforms as well as in national discussions on controlling costs and improving value.March 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» -
State Efforts to Extend Dependent Coverage for Young Adults
This State Health Policy Monitor gives an overview of the key features of state laws designed to expand dependent coverage options for young adults. Policy makers are becoming aware that young adults are the fastest growing group of uninsured in America. In fact, they are more likely to be uninsured than any other age group. Nearly one-third (30 percent) of young adults ages 19-29 are uninsured. From 2004 to 2005, the number of uninsured adults ages 19-29 increased from 12.9 million to 13.3 million – an increase that accounted for 30 percent of the growth in the number of uninsured Americans under the age of 65 during this period.December 2007 -
ERISA Implications for State Health Care Access Initiatives: Impact of the Maryland “Fair Share Act” Court Decision
This paper from State Coverage Initiatives and NASHP explores the implications for state health care access initiatives of the federal court decision finding that ERISA preempt’s Maryland’s “Fair Share Act.” ERISA Implications for State Health Care Access Initiatives: Impact of the Maryland “Fair Share Act” Court Decision discusses in detail: • ERISA preemption principles, • The Maryland law and RILA vs. Fiedler court decision, • Implications for state health care access initiatives involving employers in financing, and • Arguments that may be raised to challenge and defend such state programs.November 2006» -
Kentucky’s “Any Willing Provider” Law and ERISA: Implications of the Supreme Court’s Decision for State Health Insurance Regulation
In a case that helps to define state authority to regulate health insurance, the U.S. Supreme Court held in April 2003 that ERISA (the federal Employee Retirement Income Security Act of 1974) does not preempt Kentucky's Any Willing Provider (AWP) law. This Issue Brief outlines ERISA preemption principles, explains the Supreme Court's opinion, and discusses the ruling’s implications for state laws regulating Health Maintenance Organizations (HMOs) and other health insurers.June 2003» -
An Act to Reduce Medical Errors and Improve Patient Health: A Case Study from Maine
Among recommendations to address medical errors, the Institute of Medicine (IOM) called for the creation of a nationwide mandatory reporting system for adverse events that result in death or serious injury, implemented through state collection of standardized data. This briefing reviews the system in Maine. Health care facilities are required to report sentinel events to the state Department of Human Services Division of Licensure and Certification. The Division reviews the events and takes appropriate action. Reports are confidential and privileged, and reporters are immune from liability for reporting events. The Division will develop an annual report of summary data. Facilities that knowingly violate the act are subject to fine. Funding for two positions and information system development was provided.August 2002» -
The Medical Malpractice Insurance Crisis: Opportunity for State Action
A third malpractice insurance crisis in as many decades provides states with an opportunity to take an inclusive approach to the problem by addressing patient safety and medical errors in addition to tort reform. This paper examines the history and causes of the problem, analyzes the various approaches states are taking to solve this most recent crisis, and summarizes Pennsylvania's comprehensive new legislation that links patient safety and tort reform.July 2002» -
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» -
Patient Safety and Medical Errors: A Road Map for State Action
This report provides state executive and legislative branch officials with a framework for considering how they might coordinate with government and private stakeholders to address medical errors and patient safety in their states. The report outlines mechanisms to estimate the number of medical errors that occur and actions that states can take to improve patient safety in their various roles as purchasers, providers, regulators, educators, conveners, and policymakers.March 2001» -
How States are Responding to Medical Errors: An Analysis of Recent State Legislative Proposals
This report summarizes state legislation proposed or enacted in 2000 to address concerns over medical errors and patient safety issues. It includes summaries of 45 pieces of separate legislation.September 2000»
