- 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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Assessing the Costs of Racial and Ethnic Health Disparities: State Experience
Health disparities cost the United States billions of dollars in direct medical expenditures in addition to the human costs. In an effort to improve quality and contain costs states are taking steps to measure these costs and address disparities. This issue brief, which features Virginia and Rhode Island, was prepared by NASHP authors Carrie Hanlon and Larry Hinkle for the Agency for Healthcare Research and Quality (AHRQ). It focuses on tools, challenges, and strategies states use to measure the costs of health disparities.
June 2011» -
Safety Net Workforce in the Context of Health Care Reform
In the drive by many states to craft programs to expand health coverage to reach more, if not all, of their uninsured population, the focus has been on the cornerstone implementation issues of mandates and affordability. Less attention has been paid to the question of whether there is adequate provider capacity to deliver care, especially to those who could gain coverage under state health reform.March 2008 -
Chronic Homelessness and High Users of Health Services: Report from a Meeting to Explore a Strategy for Reducing Medicaid Spending While Improving Care
There is evidence that homeless people, especially the chronically homeless, incur high health care costs, much of which may be paid for with Medicaid funds. There is also evidence that health care costs are reduced when homeless people with intensive medical needs enter supportive housing, which combines affordable, stable housing with care workers who assist residents in managing health, mental health, substance abuse, and employment issues. This evidence provides an opportunity for states to reduce Medicaid costs by increasing their investment in housing. In April 2007, a small group of homeless and housing advocates, state health care leaders, and managed care providers met to explore this opportunity.January 2008 -
Health Reform in Maine, Massachusetts, and Vermont: An Examination of State Strategies to Improve Access to Affordable, Quality Care
This issue brief was prepared by NASHP for the Maine Health Access Foundation to examine the progress of health reform in Maine, Massachusetts, and Vermont and to compare these three states’ efforts. The brief was developed and written by Neva Kaye and Andrew Snyder. The brief includes information on:March 2007 -
What Families Think about Cost-Sharing Policies in SCHIP
This paper reports on findings from a series of focus groups with parents of current and former SCHIP enrollees in Alabama, Nevada, New Hampshire, and New Jersey. The focus groups were designed to explore parents’ feelings about and experiences with cost sharing. The groups addressed the following topics: attitudes about paying premiums and copayments, opinions about premium and copayment amounts, and aspects of the premium payment process (such as periodicity, billing and payment methods, and penalties for late and missed payments). The focus groups were an invaluable tool in studying SCHIP, yielding nuanced, multifaceted results not attainable from surveys or analysis of enrollment data. The groups provided in-depth insight into parents’ experiences with their state SCHIP programs and the cost-sharing elements of those programs.October 2005» -
Medically Needy Individuals Fact Sheet
This fact sheet briefly describes the process for determining Medicaid eligibility for individuals whose income exceeds a state’s regular Medicaid eligibility levels, but meet medically needy guidelines. Prepared for the Community Living Exchange Collaborative.October 2005» -
Medicaid Managed Care: Looking Forward, Looking Back
This paper tracks changes and trends in Medicaid managed care between 1990 and 2002. The report is based on six NASHP surveys of state Medicaid managed care programs (conducted in 1990, 1994, 1996, 1998, 2000, and 2002). The surveys gathered information on the scope and operation of both risk and primary care case management (PCCM) programs. The report also looks ahead and includes a discussion with state officials of trends that may continue and factors that may impact the future of Medicaid managed care. Contents Key Findings Introduction to the Data Marketplace Enrolled Populations Contractor Type and Covered Services Selection and Payment Access to Care Quality Looking Ahead Conclusion Appendix: 2002 Survey InstrumentJune 2005» -
Designing Maine’s DirigoChoice™ Benefit Plan – Striving to Improve Health at an Affordable Price
Maine’s Dirigo Health Reform Act of 2003 seeks to address health care costs, quality, and access. In order to address access, the Act authorizes the creation of a voluntary market-based health plan to help small businesses, the self-employed, and individuals afford health coverage. This issue brief addresses benefit design of the health plan, DirigoChoice™.December 2004» -
Report from Focus Groups with Mainers about the Dirigo Health Plan
This paper reports on the results of focus group studies conducted to ascertain Maine citizens’ views of the Dirigo Health Reform Act.November 2004» -
Dirigo Health Reform Act: Addressing Health Care Costs, Quality, and Access in Maine
This issue brief examines the early implementation of the Dirigo Health Reform Act, Maine’s comprehensive effort to create a sustainable health care system. Developed by NASHP for the Maine Governor's Office of Health Policy and Finance.June 2004»
