Chronic and Complex Populations

NASHP Resource Hub: State Strategies to Address Palliative Care

June 25, 2020/in Policy Reports, Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity Chronic and Complex Populations /by Natalie Williams, Kitty Purington and Rachel Donlon

Palliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness.
States are uniquely positioned to influence how Americans think about access, and experience palliative care.

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NASHP Awards Contracts to National Alliance for Caregiving and Advancing States to Support the RAISE Family Caregiving Council with Funding from The John A. Hartford Foundation

June 2, 2020/in Policy The RAISE Family Caregiver Resource and Dissemination Center /by NASHP Staff

To better address the needs of family caregivers, the National Academy for State Health Policy (NASHP) has awarded contracts to National Alliance for Caregiving (NAC) and ADvancing States. Under the contracts, ADvancing States will conduct listening sessions with state aging and disability officials and NAC will hold a listening session with family caregiver advocates and to collect family caregiver vignettes. These activities […]

National Standards for CYSHCN One-Pagers Showcase Most Utilized Domains

June 1, 2020/in Policy Featured News Home Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Integrated Care for Children, Maternal, Child, and Adolescent Health /by NASHP Staff

Q&A: A Deep Dive into New York’s Drug User Health Hubs with New York’s Allan Clear

May 18, 2020/in COVID-19 New York Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Equity, HIV/AIDS, Population Health, Social Determinants of Health /by Eliza Mette

The COVID-19 pandemic poses unique risks to people with opioid use disorder (OUD). Overdose risk increases when using individuals are in isolation and injection drug users are at higher risk of COVID-19 mortality due to increased rates of other infectious diseases and negative health effects from substance use.

Strengthening Workforce Capacity: State Actions to Address Opioid Use Disorder during COVID-19

May 18, 2020/in COVID-19 Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Health Equity, Physical and Behavioral Health Integration, Population Health, Social Determinants of Health, Workforce Capacity /by Kristina Long and Jodi Manz

During the COVID-19 pandemic, the opioid epidemic has quietly raged on, requiring states to fight a costly, two-front war. While states have rallied to ensure that opioid use disorder (OUD) treatment remains accessible, organizational and workforce challenges persist and the resources and revenue needed to address them are rapidly changing. Gaps in treatment infrastructure and […]

State Approaches to Family Caregiver Education, Training and Counseling in Medicaid Home- and Community-Based Services

May 4, 2020/in Policy Charts, Featured News Home, Maps Chronic and Complex Populations, Chronic Disease Prevention and Management, Health Coverage and Access, Palliative Care, Population Health, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Salom Teshale

State Approaches to Family Caregiver Education, Training, and Counseling

April 28, 2020/in Policy Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Population Health, The RAISE Family Caregiver Resource and Dissemination Center /by Salom Teshale, Eliza Mette, Paige Spradlin and Wendy Fox-Grage

State Medicaid home- and community-based waivers and state plan amendments can provide critical information, counseling, and training to family caregivers. Recently, the National Academy for State Health Policy (NASHP) reviewed states’ Medicaid 1915(c) and 1115 waivers, and 1915(i) and 1915(j) state plan amendments (SPAs) that focuses on waivers and state plan amendments covering older adults […]

Washington Official Details her State’s Response Plan to COVID-19 in Nursing Homes

April 27, 2020/in COVID-19 Washington Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Long-Term Care, Population Health /by Chris Kukka

In early March, Washington State experienced the nation’s first COVID-19 nursing home* outbreak, and the state quickly developed a response plan to address outbreaks at other nursing homes. Candace Goehring is director of Residential Care Services in Washington State’s Department of Social and Health Services (DSHS), the agency that regulates and performs complaint investigations into […]

States’ Recent 1115 Waiver Applications Include Provisions to Support Children during the Pandemic

April 27, 2020/in COVID-19 Blogs, Featured News Home Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, COVID-19, Health Coverage and Access, Health Equity, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Workforce Capacity /by Kate Honsberger

More than a dozen states have recently submitted 1115 waiver applications that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic. If approved, these 1115 waivers would be retroactively to March 1, 2020, and expire “no later than 60 days after the end of the public health […]

States Launch Rapid Response Teams to Curb COVID-19 Outbreaks in Nursing Homes

April 27, 2020/in COVID-19 Maryland, Massachusetts Blogs, Featured News Home Chronic and Complex Populations, Chronic Disease Prevention and Management, COVID-19, Health Coverage and Access, Housing and Health, Long-Term Care, Population Health, Workforce Capacity /by Chris Kukka

In several states, nursing home staff and residents make up nearly half of residents who have died from COVID-19, including 55 percent of deaths caused by the coronavirus in Massachusetts. While hospitals’ personal protective equipment (PPE) shortages have been highlighted, less attention has been paid to the critical need for PPE and infection control expertise […]

States Race to Secure Home- and Community-Based Services during COVID-19

April 20, 2020/in COVID-19 Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, COVID-19, Health Coverage and Access, Long-Term Care, Population Health, Social Determinants of Health, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Wendy Fox-Grage, Salom Teshale and Paige Spradlin

Updated May 7, 2020 In the past two months, 35 states* have rapidly amended their Medicaid home- and community-based services for older adults and their family caregivers to ensure access to long-term services and supports during the COVID-19 crisis. Under new federal rules, the states applied for Medicaid 1915(c) Appendix K waivers to make temporary or […]