- 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 Multi-Payer Medical Home Initiatives and Medicare’s Advanced Primary Care Demonstration
In September 2009, the U.S. Secretary of Health and Human Services announced that Medicare will join selected state-based, multi-payer medical home initiatives in an Advanced Primary Care (APC) demonstration. States have welcomed this announcement viewing Medicare as a valuable potential strategic stakeholder, yet are concerned that the proposed APC criteria may be too narrow to fit many current initiatives. This paper builds from a December 2009 research scan and webcast that looks at a broad range of state multi-payer initiatives and compares some of these criteria against the proposed APC criteria.February 2010» -
State Innovations in EPSDT
Between 2007 and 2009, the National Academy for State Health Policy (NASHP), with the support of The Commonwealth Fund worked with the Medicaid staff tasked with administering the EPSDT program (EPSDT coordinators) to support their efforts to improve children's access to health and developmental services as well as the quality of those services. This technical report outlines eight innovative strategies states are using to achieve these goals and highlights three major goals that states were seeking to achieve for their EPSDT program.
February 2010» -
Health Care Fraud
Adequate safeguards against health care fraud are essential to the proper functioning of any health care system. This analysis examines health care fraud in the U.S., and its findings underscore the importance to national health reform of comprehensive anti-fraud protections covering both public and private health insurance industry.October 2009» -
Federally Qualified Health Centers and State Health Policy: A Primer for California
California's federally qualified health centers (FQHCs) and "look-alikes" treat more than 2.3 million patients each year. With fewer providers serving Medi-Cal beneficiaries and the uninsured, FQHCs have become an even more vital source of primary care for millions of Californians.
Despite cutbacks in state and local funding, a new report by the National Academy for State Health Policy finds California has an opportunity to improve the performance and sustainability of FQHCs by integrating technology, adapting to changes in health policy, and tapping new sources of funding.
The issue brief covers the following topics:July 2009 -
The Role of Federally Qualified Health Centers in State-led Medical Home Collaboratives
The medical home is a model of care that is taking root in both public and private payer programs in an effort to improve quality, control costs and increase both patient and provider satisfaction. Since 2006, more than 30 states have been leading efforts to advance medical homes in their Medicaid and Children’s Health Insurance Program (CHIP). Several states are leading multi-payer medical home collaboratives to spread this model in the private sector.June 2009 -
Health Insurance Fraud: An Overview
Fraud is an unfortunate but real part of the health care landscape. As health reform legislation takes shape anti-fraud provisions will be critical. This means considering steps to strengthen the reach and scope of the HIPAA insurance fraud provisions of 1996, requiring anti-fraud compliance procedures for all insurers participating in a reformed health care system, and sufficiently funding federal and state agencies to ensure that cases of fraud are quickly detected and addressed.June 2009» -
Including Employer Financing in State Health Reform Initiatives: Implications of Recent Court Decisions
This Issue Brief discusses implications of federal court cases for state health reform. After outlining the reasons states may want to include employers as a source of health care financing, the paper discusses ERISA’s preemption principles, describes state and local laws that have imposed employer fees, and notes the key findings and conclusions from several court of appeals opinions. Based on principles drawn from these court decisions, the Brief then offers suggestions for how states can include employer assessments in financing health care programs while minimizing grounds for ERISA challenges.January 2009» -
Strategies States Can Use to Support the Infrastructure of a Medical Home
The purpose of this State Health Policy Briefing is to examine strategies states can use to recognize and support medical practices that function as a medical home. This is the second in a series of briefs produced by the National Academy for State Health Policy (NASHP) in partnership with the Patient Centered Primary Care Collaborative (PCPCC). In order to support medical homes, payers – including state Medicaid and SCHIP programs – must define what they expect practices to do and how they will know when practices are meeting those expectations. This paper briefly reviews what states should measure. The paper looks at how three states are combining strategies to support medical homes.May 2008» -
Supporting the Patient Centered Medical Home in Medicaid and SCHIP: Savings and Reimbursement
This State Health Policy Briefing explains the Patient Centered Medical Home model of care and explores reimbursement strategies states are using to help medical practices become medical homes. The PCMH model is seen as a way to address the diminishing role primary care plays in our health system. This is the first in a series of four briefs that will explore different categories of policies that states can use to support improved delivery of primary care.May 2008» -
Using HIT to Transform Health Care: Summary of a Discussion Among State Policy Makers
States are finding health information technology (HIT) an essential tool in any plan that seeks to improve the efficiency, affordability, safety, and quality of their health care systems. This State Health Policy Briefing is intended to help state policy makers determine what role they will play in HIT development, how their state will use HIT, and how they will address critical barriers to success. It is based on a day-long preconference seminar conducted by NASHP and during which state policy makers exchanged information and experience and learned from leading states and experts. Three major challenges faced by states seeking to implement and use HIT effectively are discussed:May 2008
