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Brief

CMS recently added new questions on the topic of sexual orientation and gender identity (SOGI) to the application used by HealthCare.gov and released guidance for states that want to add the same questions to their Medicaid and Children’s Health Insurance Program applications. This brief summarizes the guidance and presents several considerations for states as they look to improve their collection of sexual orientation and gender identity data.

Blog

This blog discusses resources to help state Medicaid leaders partner to connect more program enrollees with the WIC benefits they are qualified to receive.

This blog shares policies states have enacted to help prevent childhood trauma and ensure families have adequate resources to provide their children with a safe environment to grow up in.

Report

02.2024 / By Urban Institute

Using Medicaid claims data, this analysis examines adult preventable hospitalization rates across 21 states for the three most common types of preventable hospitalizations: asthma/chronic obstructive pulmonary disease (COPD), diabetes, and heart failure.

Blog

This blog presents annual, state-level vaccination rates for children aged 35 months, specifically the percentage of those children who received the full series of recommended vaccines.

Blog

This blog discusses a report that recommends steps state Medicaid agencies can take to address mental health among mothers and infants in the postpartum year, highlighting recent federal actions with implications for state action.

Brief

This brief outlines key strategies to engage families and providers in co-creating cross-sector alignment solutions that can more effectively serve children and their families. 

Blog

This blog summarizes key takeaways regarding the inclusion of maternal and child health in infectious disease emergency preparedness and response in states and territories.

Brief

10.2023 / By Urban Institute

This brief examines rates at which adults with and without disabilities reported they were treated unfairly in clinical and work settings, and its impact on their wellbeing.

Blog

This blog discusses federal and state legislative efforts and recommendations for improving infant mental health.

Blog

This blog shares new precise and granular estimates for smaller racial and ethnic subpopulation groups that often are under-researched in ACE studies due to data limitations.

Blog

This blog explores how, under the Advancing Integrated Models (AIM) initiative, the Center for Health Care Strategies supported eight healthcare provider organizations in piloting person-centered approaches to care for people with complex health and social needs. 

Blog

This blog examines actions states can take to increase access to care for substance use disorder among pregnant and postpartum people.

Report

08.2023 / By Urban Institute

This report shows the share of immigrant families who have avoided safety net programs due to green card concerns in 2022. 

Brief

This brief describes existing payment barriers and opportunities for primary care providers serving children to work toward financially sustaining care transformation.

Blog

08.2023 / By AcademyHealth

The blog explores why improving collection of and access to high-quality data is imperative in helping policymakers understand and develop effective solutions to address mechanisms that lead to poor maternal health outcomes.

Blog

This blog includes takeaways from an ASTHO technical package, summarizing a select group of related interventions that, taken together, help achieve and sustain improvements related to risk factors for CS or health outcomes. 

Blog

This blog post examines the youth mental health and loneliness crises and shares how public health agencies can work alongside schools to address these crises through social connection.

Blog

This blog explores how ASTHO and the CDC partnered with subject matter experts to improve overdose death reporting accuracy.

Blog

This blog introduces a new National Governors Association guide, designed to make transformational change in a system that has historically failed mothers and babies.

Blog

In this blog, SHADAC presents 2021 estimates of childhood poverty at the national and state level.

Blog

This blog examines the Suicide, Overdose, Adverse Childhood Experiences Prevention Capacity Assessment Tool and the importance of partnerships among health agencies.

Report

This report, and accompanying brief, explores outpatient facility fee billing in the commercial sector, including the impact of these fees on consumers and how states are responding.

Publication

This publication highlights the work states in the State Trauma and Resilience Network have been actively involved with since December 2021.

Blog

This blog examines systemic barriers to health care coverage that the LGBTQ+ community faces, and highlights a few key coverage and access issues that continue to impact LGBTQ+ individuals with private health insurance.

Blog

In this blog, ASTHO explores authenticity in leadership—what does it mean, what does it take, and how do leaders show up for the LGBTQ+ community.

Blog

This blog examines rural hospital closures and why rural hospitals may be at risk of closure due to the present and ongoing physician shortage. 

Podcast

This podcast episode explores how coordinating reentry and support services with community partners can improve the lives of people impacted by the justice system, and potentially help reduce rates of recidivism.

Blog

This blog examines state legislation related to newborn screenings and how they reflect the importance and impact of screening programs.

05.2023 / By Urban Institute

This report analyzes healthcare coverage and eligibility of nonelderly noncitizens compared with the entire nonelderly population of the US. 

Blog

This blog discusses why timely and reliable data are necessary for program planning, implementation, and monitoring/identifying resources to address and prevent ACEs. 

Blog

This blog explores the evidence behind harm reduction strategies and shares practical steps for adopting this approach in healthcare settings.

Blog

This blog examines how Alaska and Montana chose to link their Pregnancy Risk Assessment Monitoring System data to child health-focused datasets to learn more about early childhood adversity prevention opportunities in their states.

Brief

This brief presents considerations and emerging state strategies for bolstering the rural behavioral health crisis care continuum at each level of care.

Webinar & Presentations

This webinar shares how health agencies can support HAI/AR staff recruitment and retention.

Blog

This blog includes a Q&A with two Iowa HHS employees to learn more about these recent efforts. 

Journal Article

04.2023 / By Urban Institute

This journal article highlights findings from a study that estimated the association of PCC with access and affordability challenges among adults ages 18 to 64.

Blog

This blog reviews data examining groups most disproportionately impacted by mental health challenges.

Blog

This blog discusses inequities in contraceptive care at community colleges and actions organizations and institutions can take to reduce them. 

Webinar & Presentations

This webinar explores a new opportunity to improve access to care and services for people returning to the community from state prisons, county jails, and youth correctional facilities.

Blog

Physical activity not only improves mobility, but can reduce the risk of moderate or severe functional limitations among older adults and people with disabilities. This blog discusses the benefits of physical activity and strategies to support increased physical activity.

Blog

This blog examines a new video series that will have unique topics and feature stories exploring the critical need for engagement of disability stakeholders and disability-led organizations as equity partners and methods to build capacity through this critical resource.

Blog

This blog discusses upcoming changes that will help ensure all school meals align with the dietary pattern outlined in the Dietary Guidelines. 

Blog

This blog examines the role of breastfeeding in early childhood nutrition security, how states have been promoting breastfeeding and nutrition security, and recommendations for state and territorial agencies. 

Blog

This blog examines the fundamental differences in vaccine exemption type, their impact on a community, and strategies to reduce exemptions. 

Blog

This blog examines the importance of ERISA, NASHP's model act to prohibit anticompetitive contracts, and ERISA's implications.

Webinar & Presentations

This webinar highlights promising strategies for inviting youth perspectives to inform pediatric practice transformation efforts.

Blog

As states prepare to unwind the COVID-19 pandemic-related Medicaid continuous coverage requirement and resume terminations of coverage as soon as April 1, this blog examines how they could streamline eligibility determinations for older adults and people with disabilities, who face unique challenges with the Medicaid enrollment and renewal process.

Blog

This blog highlights the benefits of using federal matching funds to help states hire more people, raise wages, and temporarily bring back retired workers, and pay overtime.

Commentary

That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.

Blog

This blog presents findings from a study aimed at producing estimates of ACE exposure for different demographic groups.

Blog

This blog reviews a new report that explores the high stakes for children when the continuous coverage protection expires.

Commentary

This commentary shares the story of Leah and her work ensuring that members of her community receive the support they need with the assistance of Medicaid.

Blog

This blog explores state initiatives to increase access to childcare services while ensuring licensed care centers and workforce. 

Commentary

This commentary describes how Alabama’s Medicaid program provided Matthew with home- and community-based assistance, and the freedom to hire his own care team.

Factsheet

This fact sheet outlines the need for child health care transformation and offers strategies to incorporate an anti-racist and family-centered focus.

Blog

This blog highlights the recently enacted Consolidated Appropriations Act of 2023, legislation which includes a permanent increase of the federal medical assistance percentage (FMAP) to 83% for U.S. territories.

Blog

This blog discusses that, though the law intended to cover ALL FFY and the provision seems straightforward, the way the law was constructed has many barriers and administrative burdens.

Commentary

This commentary shares the story of Barbara, who turned to Medicaid when her son needed access to mental healthcare after being diagnosed with bipolar and oppositional defiant disorder.

Blog

This blog explores the effect of gender-based discrimination on healthcare access. 

Blog

This brief shares findings that show the need for greater language accessibility resources in healthcare settings for AANHPI adults with limited English proficiency.

Blog

This blog focuses on e-cigarette use and smoking rates, especially among young adults.

Brief

This brief reviews California’s approach to expanding health coverage to all lower-income residents, regardless of immigration status, in an effort to help the state’s 3.2 million remaining uninsured, of which 65% are undocumented.

Blog

This blog discusses how adopting a public health approach to substance use through implementation of harm reduction policies can help communities address the overdose crisis. 

Toolkit

This toolkit includes resources developed for states to customize based on their unique needs, program eligibility criteria, and environments to support outreach and education efforts to drive enrollment in new or existing health coverage programs.

Brief

This brief provides information on strategies to improve maternal health outcomes and synthesizes research about the national state-of-play across four domains: maternal health models, quality improvement, workforce and benefits, and eligibility and enrollment/coverage expansion.

Blog

This blog includes key takeaways from Washington, Hawaii, and Texas  of the varied ways in which states are prioritizing person-centered care in healthcare reform.

Brief

This brief focuses on enforcement of parity requirements for “non-quantitative” treatment limits that insurers impose on enrollees, such as prior authorization requirements and medical necessity determinations.

Blog

10.2022 / By Benefits Data Trust

This blog provides an overview of a study that analyzed the relationship between SNAP participation and health outcomes among more than 115,000 North Carolina residents who were 65 and older.

Blog

This blog reviews state enacted legislation addressing dementia through long-term care services, state planning activities, training requirements, and alert systems for missing persons with dementia.

Blog

This brief includes recommendations researchers have made to policymakers to ensure the promise of MHPAEA is realized for patients across the country.

Blog

This blog discusses the opportunities for state and federal policymakers to ensure food insecurity remains low now and into the future.

Blog

This blog discusses current vaccine options, liability protections for those giving the MPV vaccine, and considerations for vaccinating teenagers. 

Blog

This blog highlights the different approaches states are taking to expand affordable access to diabetes management and reduce disparities in care for diabetic patients.

Blog

This blog discusses the policies federal, state, and territorial governments are adopting to improve lactation accommodations in school and workplace settings.

Report

This report discusses how public health officials can mitigate the impact of disease outbreaks on pregnant people, neonates, and infants through a variety of policies, including policies related to preparing for, responding to, and recovering from a public health emergency.

Blog

This blog discusses how states can improve youth mental illness and reduce suicide through access to mental health treatments. 

Brief

This brief highlights key successes and lessons learned from Oklahoma's implementation of new harm reduction policies. 

Blog

This blog analyzes the array of legislation states have considered related to Long COVID and using pandemic relief funding to enhance the Americans with Disabilities Act.

Commentary

This commentary tell the story of how Nancy, with the assistance of Medicaid, was able to receive the care she needed and was even inspired to study medical billing when she goes to college.

Blog

This blog details how the use of an ASTHO tool was instrumental in helping create a disability preparedness toolkit for South Carolina⁠, as well as tips for how jurisdictions and agencies can address the access and functional needs of people living with disabilities during and after an emergency.

Blog

This blog outlines a collaborative approach that led to the development of an implementation guide to support mapping maternal health data across clinical areas and use cases.

Blog

06.2022 / By AcademyHealth

This blog post by researchers at AcademyHealth discusses the benefits of having an affirming provider to address health inequities among LGBTQ+ older adults, as well as shares resources to increase capacity for LGBTQ+ affirming care.

Blog

The Center for Health Care Strategies recently spoke with Jacey Cooper, California’s Medicaid director, to explore how CalAIM seeks to improve care for Californians experiencing homelessness and what other states can learn from this work.

Brief

This brief examines both combined and individual rates of reported anxiety and depression symptoms for the total adult population as well as by specific breakdowns, including age, gender, race/ethnicity, income categories, and education levels.

Commentary

This commentary tells the story of Theresa. At an early age, she was diagnosed with Spastic Quadriplegia Cerebral Palsy, a disorder that affects a person’s ability to maintain balance and posture. Now in her 40s, Medicaid allows her to work and live independently. It also provides her with speech, physical and occupational therapies, a wheelchair and the help of personal care attendants who assist with basic needs such as meal preparation, cleaning, dressing, and laundry.

Chart , Map

This map and chart highlight dental benefits for general adults and pregnant populations enrolled in Medicaid.  

Commentary

This commentary tells the story of Sonia, whose adopted son has developmental disabilities and requires frequent medical testing to stay healthy.

Graphic

This infographic outlines options can states can pursue as they consider how to target various funding sources to effectively provide treatment and recovery services for substance use disorder (SUD).

Commentary

This commentary tells the story of Alicia, a pregnant woman looking for maternal support while incarcerated and pregnant with her second child. Thanks to Medicaid, she was assigned a doula who guided her through the rest of her pregnancy and the birth of her son.

Map

This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period. (Under the Families First Coronavirus Response Act, Medicaid enrollees who typically lose coverage after 60 days postpartum cannot be disenrolled until the end of the month in which the public emergency period ends.)

Blog

This blog post seeks to review updates to five existing guidelines: Well-Women Preventive Visits, Breastfeeding Services and Supplies, Counseling for Sexually Transmitted Infections (STIs), Screening for Human Immunodeficiency Virus (HIV) Infections, and Contraception.

Journal Article

05.2022 / By Policies for Action

This journal article explores the consequences of state preemption laws in response to municipalities declaring themselves "sanctuary cities."

Dataset , Map

This interactive map allows users to explore state-by-state data about child food insecurity, and how federal nutrition programs can support better child nutrition.

Blog

This blog provides takeaways from the Massachusetts One Care Program, highlighting the impact of engaging members with disabilities in care planning and strategies that health systems and payers can use to advance health equity through improved engagement with people with disabilities.

Brief

This brief highlights strategies for states to expand affordable health coverage to immigrant populations in the United States and provides an overview of the status of the public charge rule.

Commentary

This commentary tells the story of Alicia, whose Medicaid-assigned doula guided her through pregnancy while in incarceration and the birth of her son. 

Brief

This case study examines how Alaska's state and tribal leaders co-led the COVID-19 vaccination effort including allocation, distribution, funding, and communication.

Map

This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.

Factsheet

This fact sheet explores how people of color experience unfair treatment or judgment when applying for public benefits at higher rates than white adults, and those experiences often have adverse consequences.

Brief

This brief aims to assist state and federal analysts with survey development and/or analysis of existing survey data to generate estimates of health insurance coverage and access to care across racial and ethnic groups and according to nativity and/or immigrant status.

Commentary

This brief offers practical considerations to help health systems and provider practices incorporate a focus on racial equity to enhance trauma-informed care efforts.

Blog

This blog post explores seven key considerations for health care organizations, Medicaid programs, and advocacy organizations to facilitate family engagement in program and policy design and implementation.

Chart , Dataset , Graphic

This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.

Blog , Commentary

This blog examines how the dramatic growth of telehealth during the COVID-19 pandemic has highlighted the crucial role of broadband access in ensuring that people can obtain healthcare services. 

Chart , Dataset

This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.

Webinar & Presentations

This webinar, hosted by the Center for Health Care Strategies with support from the Robert Wood Johnson Foundation, will explore the need to transform child health care from three unique perspectives — a pediatrician, a family advocate, and a children’s health clinic director.

Webinar & Presentations

This webinar features early childhood and Medicaid experts highlighting efforts used to support young children with development and learning needs throughout the COVID-19 pandemic.

Brief

This brief reviews the policy and operational considerations for states of the new option to extend postpartum coverage in the American Rescue Plan Act.

Webinar & Presentations

This webinar explores practical strategies to assess and address hunger needs faced by families during the COVID-19 pandemic and beyond, including leveraging early childhood systems and the Help Me Grow system model to address child food insecurity.

Brief

This brief describes the American Rescue Plan Act's home- and community-based services federal medical assistance percentage increase provision, the requirements for states receiving the enhanced federal funding, and considerations and next steps for state policymakers.

Report

This report uses data from the Urban Institute's 2020 Well-Being and Basic Needs Survey (WBNS), a nationally representative survey of more than 7,500 adults ages 18 to 64, to examine charitable food use (defined as the use of free groceries or free meals) in 2020. 

Commentary

This commentary provides an overview of new and emerging best practices for vaccinating individuals in homeless shelters which may help states more efficiently vaccinate other hard-to-reach or medically vulnerable populations, such as those living in rural areas or congregate settings.

Commentary

This commentary outlines how a health system in Minneapolis worked to increase Somali engagement with behavioral health services.

Commentary

This commentary provides an interview with two individuals leading an organization in Los Angeles that is providing care to justice-involved individuals by recruiting people with lived experience.

Commentary

This commentary discusses the importance of health care organizations and county health agencies elevating the voices of formerly incarcerated individuals and their communities.

Commentary

This commentary discusses why states are beginning to include children in their vaccination distribution plans.

Brief

This brief estimates estimate the chilling effects on public program participation because of green card concerns and because of broader immigration concerns among adults in immigrant families.

Report

This report provides nationally representative estimates of telehealth use among nonelderly adults six months into the COVID-19 pandemic, as of September 2020.

Commentary

This commentary discusses the experiences of two physicians treating people with opioid use disorder (OUD) during the COVID-19 pandemic.

Brief

This report explores flu vaccination rates across multiple years for U.S. adults across the 50 states and the District of Columbia as a proxy to identify population subgroups that may be harder to reach with a COVID-19 vaccine.

Commentary

This commentary reviews the key features of the Community Health Access and Rural Transformation Model, an initiative of the Centers for Medicare and Medicaid Services, and outlines considerations for states.

Report

This report uses data from the most recent wave of the Coronavirus Tracking Survey to examine food insecurity among families with school-age children six months into the pandemic.

Report

This report uses data from the most recent wave of the Coronavirus Tracking Survey to assess food insecurity and other key indicators of material hardship and well-being among families with young children.

Commentary

This commentary examines unique strategies states are developing to support the health needs of children and youth with special health care needs who lack access to their usual school-based physical, developmental, and mental health supports. 

Report

This report on the opioid crisis examines wide-ranging unmet community needs and service system limitations, often tied to historical policy failures and/or regional economic challenges.

Report

This report seeks to identify ways in which the opioid crisis is affecting children in families touched by drug use; how parents or caregivers could be better supported; and how service providers and systems could better support families. 

Commentary

This commentary explores what states have learned during the COVID-19 health crisis that could improve their long-term services and supports programs during and beyond the pandemic.

Report

This report explores the strengths and deficiencies of maternal health care financing in the United States and the ways current policies and practices contribute to inequitable maternal health outcomes.

Report

This report examines how the COVID-19 pandemic has forced health systems, including perinatal services and support providers, to rely on telehealth, or the remote provision of care through telecommunications technology, to reach their clients.

Report

This report examines children’s unmet health care needs during the pandemic and identifies strategies to address these gaps, as well as barriers to widespread implementation of these strategies.

Commentary

This commentary explores the potential fiscal impact of the COVID-19 pandemic on Medicaid and early childhood services and offers opportunities to sustain critical services.

Commentary

This commentary explores how adverse childhood experiences contribute to poor health outcomes, and the ways that these are exacerbated by the COVID-19 pandemic.

Report

This report provides perspectives from organizations across the country that serve immigrant families and shares their view on what response efforts have done to support immigrant families during the COVID-19 pandemic. 

Commentary

This commentary analyzes how states are working to protect farmworkers during COVID-19.

Commentary

This commentary outlines some of the collaborative and successful strategies states are taking to protect and support individuals particularly at risk for homelessness.

Commentary

This commentary examines approaches states are taking to protect farmworkers during the COVID-19 pandemic and recommendations for policymakers.

Commentary

This commentary examines the launch of a New Jersey-based Project ECHO initiative to share COVID-19 expertise between specialists and primary care to meet the needs of pregnant and parenting women during the crisis.

Commentary

Destination: Home leadership discuss their county’s initial response to COVID-19 and their organization’s role in providing care and services for homeless individuals during the pandemic. 

Commentary

This commentary outlines challenges facing family caregivers in the COVID-19 environment and new opportunities for states to come to their aid.

Report

This report assesses how the pandemic is affecting family employment and caregiving, financial decisions, and material hardship among parents living with children under age 19.

Webinar & Presentations

This webinar reported on how states are tracking the disproportionate impact of the disease on vulnerable populations and provided a framework for states to examine their COVID-19 response efforts to yield better outcomes for such populations. 

Report

This report focuses on the impact of the COVID-19 pandemic on family employment, financial security, and material hardship among non elderly Hispanic adults by family citizenship status.

Brief

This brief provides an overview of Children Health Insurance Program (CHIP) Health Services Initiatives (HSIs) and identifies ways that states can leverage them as part of their targeted response to the COVID-19 pandemic.

Commentary

This commentary discusses the 1115 waiver applications submitted by states that have the potential to safeguard access to care and increase support for children during the COVID-19 pandemic.

Commentary

This commentary highlights the critical need for PPE and infection control expertise at nursing homes.

Commentary

This commentary discusses the steps states are taking during the COVID-19 pandemic to protect pregnant women and their infants during delivery.

Commentary

This commentary discusses the unique risk for COVID-19 associated with homelessness.

Report

This report assesses the demographic and socioeconomic characteristics of adult food preparation and food service occupations and provides state-level estimates of their numbers and uninsured rates before the outbreak. 

Commentary

This podcast discusses the many ways that states are working to address the challenges surrounding maternal and infant mortality, specifically the significant disparity experienced by black women,

Report

This report describes select policy and strategy levers that Medicaid agencies can employ to improve maternal health outcomes and address outcome disparities in five areas: coverage, enrollment, benefits, models of care, and quality improvement.

Report

This FAQ answers questions about whom the Department of Homeland Security (DHS) public charge rule will impact, what benefits are implicated by the rule, and how the rule might be administered.

Brief

This article examines Advancing Integrated Models (AIM), a project through which eight organizations are designing and piloting new strategies for integrating innovative, “next-generation” approaches to person-centered care for individuals with complex health and social needs.

Report

01.2020 / By ZERO TO THREE

This annual report compares national and state-by-state data on the well-being of infants and toddlers.

Commentary

These four bog posts focus on local and national innovations to offer guidance on serving complex populations.

Report

This FAQ examines who will be affected by the Department of Homeland Security's final public charge rule, what benefits are implicated, and how the rule might be administered.

Report

10.2019 / By Manatt Health

This issue brief examines how state Medicaid agencies, families, advocates, providers and other stakeholders can partner to improve access to services for Medicaid-enrolled children with special health care needs.

Webinar & Presentations

This webinar reviewed the Department of Homeland Security's final version of its public charge rule, highlighted changes from the proposed rule, and explored the rule’s potential impacts on consumers, states and providers.

Report

08.2019 / By Urban Institute

This report shares insights from in-depth interviews with 25 adults in immigrant families who reported that they or a family member avoided participating in safety net programs like Medicaid, SNAP, or housing assistance in 2018 because of immigration concerns.

Report

07.2019 / By Urban Institute

This brief uses the Well-Being and Basic Needs Survey to examine immigrant families’ reported avoidance of activities in various public settings.

Webinar & Presentations

07.2019 / By Vox

This short video explains the effect of Medicaid on children's health.

Brief

06.2019 / By Urban Institute

This brief examines the prevalence of precarious work schedules among working adults whose families participate in federal safety net programs, using data from the December 2018 Well-Being and Basic Needs Survey.

Brief

06.2019 / By Urban Institute

This fact sheet explores the extent to which families of young children experience material hardship and psychological distress.

Brief

06.2019 / By Urban Institute

This fact sheet explores the extent to which families with young children continue to experience food insecurity.

Commentary

In this article, Dan Sumrok, MD, DFASAM, ABAM, ABPM, discusses a possible connection between combat experience and physical and behavioral health problems.

Report

05.2019 / By Urban Institute

This report uses data from the December 2018 Well-Being and Basic Needs Survey to provide systematic evidence on the extent of chilling effects among immigrant families before release of a final public charge rule.

Report

This report explores challenges associated with providing complex care in rural and frontier communities and outlines opportunities to ensure effective programs.

Report

This resource examines changes in health insurance coverage from 2016 to 2017 for children nationwide and in each state.

Report

In this report, ReSource Team members were interviewed on their methods for addressing the needs of extremely medically complex and socially vulnerable individuals.

Report

This study analyzes three programs that use non-traditional workforce strategies to extend the reach of their clinics to better engage complex patients in their homes, at medical appointments, and other locations.

Report

03.2019 / By ZERO TO THREE

This resource compares national and state-by-state data on the well-being of infants and toddlers, and provides national and state-level data to help advance policies to improve the lives of babies and families.

Commentary

Eight states will join Aligning Early Childhood and Medicaid, a multi-state initiative aimed at improving the health and social outcomes of low-income infants, young children, and families through cross-agency collaboration.

Brief

This brief reviews the role that social and economic factors--such as housing, healthy food, and income--play in a “whole person” approach to health care, especially among Medicaid’s low-income enrollees.

Brief

This brief reviews the opportunities state policymakers have to affect the health—and future well-being and productivity—of their youngest residents through their Medicaid programs.

Brief

This brief reviews the growing body of research on Medicaid's health and economic impacts, including access to care; self-reported health status; preventive health screenings; delaying care because of costs; hospital and ED utilization; and mortality rates.

Brief

This brief highlights priority issues for consideration and potential action, including: the structure of the Medicaid agency; enabling coverage and access; addressing the needs of special populations; and value-based payment policies.

Journal Article

01.2019 / By Urban Institute

This study analyzed linked maternal and infant Medicaid claims data and infant birth records in three states to assess treatments and outcomes on maternal and infant health.

Report

This report outlines the activities of three pilot sites pursuing Medicaid-driven strategies to support young children and their families, to help inform other cross-sector partnerships at varying stages of development.

Graphic

This infographic series examines housing affordability, both unaffordable rents overall as well as for specific populations.

Report

The Blueprint for Complex Care provides a strategic plan to support multidisciplinary innovations and accelerate opportunities to improve care for individuals with complex health and social needs.

Report

The Department of Homeland Security’s (DHS) proposed rule, Inadmissibility on Public Charge Grounds, proposes significant changes to how it will determine whether an immigrant is likely to become a “public charge” including, for the first time, the use of Medicaid benefits as a key factor in that analysis.This resource answers popular questions about the rule. 

Brief

This technical assistance tool shares criteria used by innovative organizations that are identifying individuals for their complex care programs, to help others develop or refine eligibility criteria for complex care management programs.

Webinar & Presentations

This webinar featured speakers from AccessHealth Spartanburg in South Carolina and Petaluma Health Center in Northern California who shared strategies for addressing social determinants of health.

Report

This resource highlights articles published since January 2018 that report on the impact of Medicaid expansion in 33 states and DC, organized by health access and outcomes, economic impacts, and coverage impacts.

Brief

10.2018 / By Urban Institute

This brief examines changes in health insurance coverage and health care access and affordability for parents and their children between 2013 and 2018 using data from the Health Reform Monitoring Survey.

Webinar & Presentations

This webinar featured the use of admissions, discharge, and transfer (ADT) data feeds to coordinate care for patients with behavioral health and other complex care issues in Tennessee and Washington. It provided lessons learned, including operational and financing strategies, linkages to quality metrics and outcomes, and alignment with other statewide payment and delivery system efforts.

Report

09.2018 / By Urban Institute

As federal and state policymakers weigh changes to federal programs that help low-income people meet their basic needs for food, medical care and shelter, they run the risk of increasing material hardship, which could have detrimental short- and long-term impacts on children and adults.

Report

This chartbook uses data from the American Community Survey (ACS) to examine health insurance coverage from 2013 to 2016 for children at the national level and in the states.

Graphic

According to 2016 data from the National Survey of Children’s Health, 33.9 percent of children nationwide had trouble affording nutritious meals.

Graphic

According to 2016 data from the National Survey of Children’s Health, 14.4 percent of children nationwide lived in working poor households. Of these, roughly one-third resided in ten states: Mississippi, New Mexico, Arizona, New York, Arkansas, Michigan, Nevada, Alabama, Louisiana, and Texas. 

Journal Article

04.2018 / By Urban Institute

The Affordable Care Act (ACA) made private nongroup health insurance more accessible to nonelderly adults with chronic conditions through the federal and state-based Marketplaces. As repeal of the ACA individual mandate takes effect in 2019, protecting coverage gains while stabilizing nongroup premiums may depend on state-level efforts to spread the risk of enrollees’ health care costs across a balanced insurance pool.

Journal Article

This article analyzes the impact of the Affordable Care Act on health insurance coverage for verterans in states that chose to expand Medicaid and in non-expansion states using data from the 2013 and 2014 American Community Survey. The analysis found a substantial 24 percent relative decline in the rate of uninsurance for U.S. veterans between 2013 and 2014. Coverage gains in rural areas were due to gains in Medicaid and individual market coverage. The increase in the insured rate was three times larger in Medicaid expansion states versus non-expansion states.

Brief

This issue brief summarizes key features of the February 9, 2018 10-year CHIP extension. CHIP covers nearly 9 million children and is a key contributor to record-low levels of uninsurance among children.

Report

This report examines how organizations participating in Transforming Complex Care (TCC), a multi-site national initiative funded by RWJF, are assessing and addressing social determinants of health for populations with complex needs. It reviews key considerations for organizations seeking to use SDOH data to improve patient care.

Brief

Low-income and vulnerable populations often need services and supports outside the scope of a single state agency to live healthy lives. In some states, braiding or blending funding streams lends programs a measure of flexibility, efficiency, and resiliency. Some states are considering whether innovative funding models could help them address the health-related social needs of vulnerable residents.

Webinar & Presentations

This webinar profiles Louisiana’s Permanent Supportive Housing program and  Virginia’s Children’s Services Act, and examines their use of blended or braided funding to help meet the health-related social needs of vulnerable low-income populations.

Report

04.2017 / By Urban Institute

Before the ACA’s implementation, nearly one million veterans—almost one in 10—were uninsured. By 2015, the number of uninsured veterans fell to 552,000. Veterans uninsurance reduced by nearly 40 percent between 2013 and 2015 under the Affordable Care Act.

Report

04.2017 / By Urban Institute

In this report, researchers estimate the impact of the ACA Medicaid expansion on uninsured rates of poor, childless adult citizens, by age, gender, race, income, education, and health.

Brief

CHIP can provide critical financial support to states as they seek to implement cost-effective lead abatement activities to protect children. This issue brief describes the CHIP State Plan option, which does not require a waiver, and the opportunity it provides for states to make significant tangible reductions in lead exposure and improvements to children’s health. The brief includes specific examples in case studies from Michigan and Maryland.

Brief

State agencies across the country, from Medicaid to public health, to social services and corrections, are deeply engaged in multi-sector initiatives to reduce infant mortality. And for good reason: the United States ranks 25th among industrialized countries in infant mortality with a disproportionate number of being African Americans.

Journal Article

This article examines changes to health insurance coverage and access to health care among children, adolescents, and young adults since the implementation of the Affordable Care Act using data from the National Health Interview Survey. The authors found significant improvements in coverage among children, adolescents, and young adults since 2010, along with some gains in access.

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