Following on the heels of our Leader’s Summit, held in October, last night NASHP convened our Academy members in a national issues forum teleconference to update each other and discuss emerging concerns and opportunities. From that discussion, several themes emerged:
- The uncertainty of policy direction confounds states and markets and leads to instability
- As policy evolves, priority should be given to market stability
- Maintaining the momentum in states in payment and delivery reform –key components of addressing costs- is critical and much of it has been supported through the Center for Medicare and Medicaid Innovation (CMMI)
- Numerous, long negotiated waivers and waiver renewals now before the federal government should be addressed to assure momentum in reform continues
- States are considering the impact of block grants, weighing added flexibility against the budget impact of moving from the guaranteed funding of an entitlement to the annual Congressional appropriations process
- The Children’s Health Insurance Program (CHIP) and maintenance of effort requirements have provided coverage for millions of children and that coverage needs to be a priority in whatever policy is considered.
- Public health and prevention are important long term strategies to tame the health care cost trajectory and must be part of any emerging proposals.
- NASHP is a non-partisan organization of state health policy leaders ready to identify issues of concern and strategies that can work
The October Leaders’ Summit produced a new publication that outlines ways in which states are ready to work with the next administration.