- 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
-
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vision contrasts sharply with most states’ welfare-era, paper-based systems that rely on complex eligibility rules and outdated technologies.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» -
Electronic Enrollment of Newborns into Medicaid: Insights from Oklahoma
This issue brief highlights the state of Oklahoma, which recently implemented an electronic enrollment system for newborn children in its hospitals. By replacing a paper-based enrollment process with an electronic system, Oklahoma has been able to improve efficiency and program analysis, streamline billing, facilitate the establishment of medical homes, and reduce administrative costs.June 2010» -
Medicaid Eligibility, Enrollment, and Retention Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System
NASHP, with the support of the John D. and Catherine T. MacArthur Foundation, is working with Models for Change grantee organizations and state policymakers to address the health needs of youth in the juvenile justice system. This new issue brief from NASHP is the second in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to Medicaid enrollment and retention policies for juvenile justice-involved youth.December 2009» -
Express Lane Eligibility and Beyond: How Automated Enrollment Can Help Eligible Children Receive Medicaid and CHIP
As states work to insure more children in challenging economic times, a new report funded by the Robert Wood Johnson Foundation (RWJF) explores how states can identify and enroll eligible but uninsured children by borrowing automated strategies that have proven effective in helping eligible people receive other public and private benefits. Authored by Urban Institute researcher Stan Dorn in collaboration with the National Academy for State Health Policy (NASHP), the report details how auto-enrollment strategies have the potential to identify, enroll and retain large numbers of eligible children while reducing state administrative costs. The report explains how the recently enacted Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) makes these strategies substantially easier for states to implement while establishing powerful new financial incentives for states to reach the greatest possible number of eligible children.April 2009 -
Maximizing Kids’ Enrollment in Medicaid and SCHIP: What Works in Reaching, Enrolling and Retaining Eligible Children
This report published in February 2009, with the support of the Robert Wood Johnson Foundation (RWJF), was developed to help states improve their CHIP recruitment and retention efforts. Revisiting ideas summarized in a previous NASHP publication entitled Seven Steps Toward State Success in Covering All Children Continuously, this brief provides more concrete information for states seeking to take the next steps in enrolling more eligible, uninsured children. According to the authors, many states have successfully improved SCHIP enrollment and retention through implementing some of the key themes identified in the report. In addition, the report suggests that states can increase enrollment in Medicaid and the State Children’s Health Insurance Program (SCHIP) without massive changes in policy – providing ideas on how to build on existing administrative and public outreach efforts.
February 2009 -
Maximizing Kids’ Enrollment in Medicaid and SCHIP: What Works in Reaching, Enrolling and Retaining Eligible Children
Nearly two thirds of the nation's 8.9 million uninsured children are eligible but not enrolled in Medicaid and SCHIP. This new report from the National Academy for State Health Policy, the National Program Office for the Maximizing Enrollment for Kids program of the Robert Wood Johnson Foundation, examines strategies states can use to increase enrollment in these two programs.
Building on a 2006 NASHP report, the new paper reviews literature and expert opinions to elaborate on seven strategies states can implement to maximize enrollment for uninsured children eligible for public coverage. From simplifying the enrollment process to implementing the latest technology and urging political leaders to make enrollment a priority, the report lays out key steps that states may consider when tackling the difficult issues of making sure the pathways for enrollment and renewal for all eligible children are as efficient as possible.
February 2009 -
On the Spot in Illinois: Working toward Reaching and Enrolling All Children and Adolescents
Published in October 2008, this State Health Policy Briefing looks at key aspects of the outreach effort undertaken by Illinois to reach and enroll uninsured children and adolescents in its All Kids program. Although the state employed a breadth of strategies to reach and enroll the state’s uninsured children and youth, administrators believe that a key component of the program’s success was the simplicity of it being available to all uninsured children and adolescentsOctober 2008» -
Seven Steps Toward State Success in Covering Children Continuously
In March 2006, the National Academy for State Health Policy (NASHP) convened a small invitational symposium on child health coverage. This brief summarizes key suggestions which emerged during the symposium discussion about lessons learned over the past decade of state efforts to increase rates of child health coverage. Participants in the symposium reviewed and discussed recent progress and remaining barriers for states in reducing numbers of uninsured children and youth. Participants also generated and discussed ideas about restructuring child health coverage to move closer to a goal of covering all children and youth continuously.October 2006» -
SCHIP Changes in a Difficult Budget Climate: A Three-State Site Visit Report
This report explores the political and economic forces that have resulted in recent changes in SCHIP programs in three states: Texas, Utah, and Virginia. The report is based on site visits to each of these states and provides a framework for better understanding the dynamics that shape all SCHIP programs.April 2004» -
State Experience with Enrollment Caps in Separate SCHIP Programs
This policy brief examines state policies and procedures concerning enrollment caps and freezes, wait lists, and open enrollment periods in SCHIP programs. The brief provides information from six states that have experience with these strategies.February 2004»
