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Showing all 873 items
Brief

This brief describes current use of and spending on routine vision and hearing services among all Medicare beneficiaries and select subgroups.

Brief

This brief highlights key state actions to increase cancer screening for adults covered by Medicaid and improving health outcomes.

Map

This map provides a snapshot of current telehealth medications for opioid use disorder state policy 18 months into the COVID-19 pandemic.

Webinar & Presentations

This webinar and accompanying presentation examine the challenges and solutions to ensure families have adequate nutrition during the pandemic and beyond through various governmental food programs.

Webinar & Presentations

This webinar provide an overview of strategies for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Medicaid continuous coverage requirement ends.

Commentary

This commentary covers how the National Academy for State Health Policy (NASHP)’s Model Act for State Oversight of Proposed Health Care Mergers grants state attorneys general and state health officials with overarching authority on cost, like a health cost commission, the authority to review, place conditions upon, and block potentially harmful consolidation of healthcare providers in their state.

Commentary

This commentary highlights how states have advanced two separate but related initiatives  to tackle rising healthcare costs: cost-growth benchmarks to track and contain overall healthcare spending; and prescription drug affordability boards to conduct reviews of high-cost prescription drugs and set limits on what can be paid for these drugs in the future.

Brief

This issue brief summarizes state strategies and experiences shared during a virtual summit on data and health equity, as well as lessons learned during the COVID-19 pandemic.

Brief

This brief synthesizes key accomplishments and lessons learned based on interviews with 10 state COVID-19 health equity task forces represented in the network. 

Brief

The brief focuses on actions Medicaid agencies can pursue through their managed care programs or directly with provider organizations and highlights state interventions and collaborations that demonstrate promise in reducing disparities and begin to center equity in birth-related health policies.

Report

This report estimates increases in federal subsidies under two provisions of the Build Back Better Act that would flow to people below the federal poverty limit in the 12 states that have not expanded Medicaid (people in the “Medicaid gap”).

Brief

This brief examines how state Medicaid and public health programs can advance health equity for the communities they serve, especially for people of color, working both within their agency and through cross-agency partnerships.

Commentary

This commentary is the story of Theresa, who developed Spastic Quadriplegia Cerebral Palsy and whose Medicaid allows her to work and live independently, and do activities she enjoys such as swimming. 

Commentary

This commentary tells the story of Becky, whose Medicaid covers her medical visits and medication, as well as home-based assistance to help manage her multiple sclerosis.

Commentary

This commentary tells the story of Alicia, who was able to access a doula through Medicaid while incarcerated and pregnant with her second child.

Webinar & Presentations

This webinar reviewed steps states can take to integrate health equity into their Medicaid managed care programs.

Brief

This brief examines the information technology system, policy, and operational strategies states can consider to update key enrollee contact information to ensure eligible enrollees are able to keep or transition to new affordable health coverage at the end of the public health emergency.

Brief

This brief highlights a Nevada program that aims to target oral health care gaps among children who rely on school-based sealant programs to prevent dental decay, the most common chronic condition among children. 

Map

This map highlights contact tracing as an essential strategy to curb the spread of COVID-19.

TOPICS
Brief

This brief identifies key themes and policy considerations to help Massachusetts implement value-based payment models that better meet children’s needs.

Commentary

11.2021 /

This commentary tells the story of Adrian, who serves as an assistant director at the Hattiesburg, Miss., office of Youth Villages and oversees the Medicaid-funded Mississippi Youth Programs Around the Clock (MYPAC) effort, which currently has more than 500 people enrolled throughout the state.

Brief

This issue brief reviews state Medicaid/Children's Health Insurance Program agency data and information technology system “table stakes”—strategies that will have the highest impact for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Public Health Emergency continuous coverage requirements end.

Blog

This blog discusses the appointment of Kara Herring as Indiana's first Chief Equity, Inclusion and Opportunity Officer.

Chart

This chart presents efforts by state insurance purchasers using reimbursement rates paid by Medicare as a reference-point to inform their programs’ hospital payments.

Brief

This brief explores whether insurance shoppers are still being directed towards alternative coverage at a time when the Affordable Care Act coverage was broadly available and more affordable than ever because of the enhanced premium subsidies under the American Rescue Plan Act.

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.

Journal Article

This journal article assesses the impact of the Affordable Care Act (ACA) Medicaid expansion on coverage and access to care for a subset of low-income parents who were already eligible for Medicaid when the ACA was passed.

Brief

This issue brief—the first in a series “Supporting Health Equity and Affordable Health Coverage for Immigrant Populations”—provides an overview of the national immigrant health coverage landscape and offers considerations for policymakers related to state-funded affordable coverage programs for low-income individuals who do not qualify for subsidized health insurance under the Affordable Care Act or other public programs due to immigration status.

Chart

This brief explores how states propose using American Rescue Plan Act funds to bolster the workforce that provides home- and community-based services, including increasing reimbursement rates, providing new opportunities for professional advancement, and offering recruitment and retention incentives.

Blog

This expert perspective highlights observations about the factors impacting rate changes in the Affordable Care Act Marketplaces this year and the kind of variations that exist among states.

Brief

This issue brief presents a sustainable, hybrid coverage and funding approach for mobile crisis services in light of the new federal funding opportunities for states to improve access to behavioral health crisis services.

Webinar & Presentations

This video features NSHPI director Glen Mays and board member Suzet McKinney discussing ways to improve collaboration between public health and medical care, strategies to increase the nation's healthcare service capacity, ways to address the healthcare inequities that COVID-19 has exposed, and much more.

TOPICS
Brief

This brief documents how information describing sexual or gender minority populations is currently collected at the federal level and in Medicaid.

Brief

This brief examines results from SHADAC's survey on population experiences with COVID-19 sickness and death.

Brief

This brief highlights the Departments of Health and Human Services and the Treasury's final rule governing marketplaces and qualified health plans sold through the marketplaces in 2022.  

Brief

This brief analyzes how three state governments (Illinois, Indiana, and Rhode Island) worked across agencies to respond to the COVID-19 pandemic.

Commentary

This commentary presents strategies for state-based marketplaces to improve consumer outreach, provide enrollment assistant and clearly communicate with consumers with what health coverage options are available for them in 2022.

Brief

This brief presents an updated version of the SHADAC COVID-19 Survey in April 2021, aimed at understanding respondents’ experiences with illness and death due to COVID-19 for themselves, their families, and their contacts.

Report

10.2021 / By Urban Institute

This report finds that generous funding to support policies related to home- and community-based services (HCBS) eligibility, caregiver wages, and services could drastically improve the lives of people in need and the workers who serve them.

Webinar & Presentations

10.2021 / By Urban Institute

This event examines the Housing Crisis Research Collaborative and the Urban Institute's insights from published and upcoming research on how policymakers, researchers, community members, and funders can work together to support the stabilization of renters in the US during and beyond the pandemic.

Blog

This blog examines the results from the 2021 release of the National Health Security Preparedness Index which show that the nation’s protections from large-scale health threats remain highly variable across the country. 

Webinar & Presentations

This recording features highlights from NASHP's 34th Annual Conference.

Webinar & Presentations

This webinar discusses the research on how Medicaid saves lives, reduces costs, and helps eliminate racial and ethnic health disparities.

Report

09.2021 / By Urban Institute

This report examines policies to improve continuous postpartum coverage after the COVID-19 public health emergency ends.

Commentary

This expert perspective summarizes the provisions of the No Surprises Act relating to air ambulances and notes particular implications for state regulators and marketplace officials.

Commentary

This paper includes considerations and approaches to promote equity and improve public health capacity to prevent, detect and respond to HIV, viral hepatitis, STDs and TB during the public health emergency and beyond.

Chart

This map and chart provides updated information states' vaccination and mask mandates in schools across United States.

TOPICS
Chart

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

Brief

08.2019 / By Urban Institute

Using the American Community Survey, the brief presents that uninsurance increased by 0.2 percentage points between 2016 and 2017 despite a strong economy, meaning 700,000 more uninsured Americans.

Webinar & Presentations

This webinar shared findings from a published Manatt Health issue brief for SHVS on Medicaid’s role in combating the maternal mortality crisis.

Brief

01.2021 / By Urban Institute

This brief present that if the remaining 14 states had expanded eligibility in 2020, 4.4 million fewer people would have been uninsured that year.

Blog

This blog examines the interest in the potential timeline for Medicaid expansion in the remaining states after the passage of the American Rescue Plan Act. 

Graphic

This infographic examines how expanded coverage has saved lives, reduced health care costs, narrowed racial disparities, and provided peace of mind to those who would otherwise have been uninsured.

Brief

08.2021 / By Urban Institute

This brief examines how enrollment gains in public insurance helped offset declines in employer-sponsored insurance during the COVID-19 pandemic. Unlike previous recessions, the uninsurance rate did not change.

Resource Page

This resource page compiles the latest Robert Wood Johnson funded research on the benefits of closing the Medicaid coverage gap.

Blog

This blog post examines how the American Rescue Plan Act affected the affordability, choice, and coverage stability of health plans on 12 different state-based marketplaces. 

Report

10.2021 / By Urban Institute

This report aims to estimate the Medicaid enrollment trends once the COVID-19 public emergency ends and policies prohibiting disenrolling beneficiaries are nullified.

Commentary

This expert perspective explores how state Medicaid managed care programs and health plans can work collaboratively to increase COVID-19 vaccination rates for the more than 55 million Medicaid enrollees in comprehensive managed care plans.

Podcast

This report provides updated excerpts of health disparities and health equity language from Medicaid managed care contracts and requests for proposals from 15 states and the District of Columbia as well as the contract for California’s state-based marketplace, Covered California.

Brief

This guide describes recommended process steps for states to integrate a focus on health equity in their Medicaid managed care programs.

Blog

This blog post outlines the potential coverage gains, state cost savings, and improved health outcomes that would occur if the remaining 12 nonexpansion states extending their Medicaid programs in accordance with the Affordable Care Act. 

Commentary

This brief examines how New York is expanding changes to the race and ethnicity questions system-wide for the next open enrollment period and how the state is considering additional revisions in hopes of further enhancing the quality and completeness of its data.

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.

Brief

This issue brief outlines key priorities and considerations for modernizing Immunization Information Systems, including leveraging federal funding available to support these efforts.

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

This blog examines how states and other stakeholders have another chance to weigh in on Tennessee’s 10-year Medicaid funding demonstration which was approved by the Centers for Medicare & Medicaid Services in early January during the final days of the Trump administration.

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.

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.

Commentary

This op-ed argues for Medicaid Expansion in the North Carolina, highlighting the success Virginia had in extending access to health care through its expansion.

Commentary

09.2021 / By David Schaefer

This op-ed, authored by David Schaefer of the Georgia Budget Policy Institute, argues that closing the Medicaid coverage gap in Georgia will also increase access to health care and strengthen health infrastructure in rural communities.

Commentary

This op-ed provides arguments for Medicaid expansion in Wyoming from the perspective of provider organizations.

Commentary

09.2021 / By April Holman

This op-ed argues the need for Kansas to expand its Medicaid program to close the "coverage gap".

Commentary

This commentary details how Oregon’s state employee health plan is implementing multiple approaches to contain high costs and ensure a level of predictability for its public employees and their health plan.

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.

Brief

08.2021 / By Resources

This brief summarizes COVID-era changes and challenges for four major federal surveys—American Community Survey, Current Population Survey, Medical Expenditure Panel Survey, and National Health Interview Survey—and explains what effects these adaptations may have for understanding 2020 data as it becomes available.

TOPICS
Blog

The blog highlights updates to a compendium providing Medicaid agencies with examples of how different states are leveraging their managed care programs, inclusive of contracts, quality programs, and procurement processes, to promote health equity and address health disparities.

Blog, Commentary

This papers pulls together considerations and examples of best and promising practices for Governors, including building vaccine confidence through consistent, transparent and factual communication; establishing straightforward pathways for individuals to access vaccines; and, developing and streamlining sustainable systems to strategically allocate and distribute vaccines to rural and frontier populations.

TOPICS
Chart, Dataset

This interactive map highlights the status of individual state’s legislation to address health care costs in 2021.

Chart, Dataset

This interactive map displays the methods state of have developed, deployed, and adapted their contact tracing approaches in response to the pandemic. 

TOPICS
Brief, Report

08.2021 / By Urban Institute

This brief examines how several adults have gone without needed health care during the COVID-19 pandemic over concerns about being exposed to the novel coronavirus in hospitals, doctor’s and dentist’s offices, and other health care settings.

Chart, Dataset, Graphic

This chart presents the status of individual states’ efforts to ban or enforce private employer mandated vaccinations, mandates on vaccines for state employees and health workers, and vaccine passports.

Chart, Graphic

This National Academy for State Health Policy’s Appendix K interactive map, supported by The John A. Hartford Foundation, tracks each state’s new flexibilities in modified 1915 (c) and 1115 waivers and includes information about flexibilities in COVID-19 Public Health Emergency Demonstration 1115 waivers.

Chart, Graphic

This chart presents information on the states banning vaccine mandates for students and those mandating that students and staff wear masks in schools.

Webinar & Presentations

This webinar, cosponsored by the Center for Health Care Strategies (CHCS) and the Camden Coalition of Healthcare Providers’ National Center for Complex Health & Social Needs, will feature first-hand experiences and reflections from the field on recent innovations in complex care measurement.

Brief

This guide is comprised of three tools to help state officials with the language they use to discuss and write about race and health equity.

Brief

This issue brief outlines key barriers states face in their efforts to increase vaccination rates among BIPOC and highlights strategies states are pursuing in partnership with community-based organizations to address these challenges.

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, Factsheet

These digital tools examine and compare physician acceptance of new Medicaid patients at the state level and by physician and practice characteristics.

Commentary

This brief summarizes the unique structure of Virginia’s equity work, the strategy and actions taken to date, and success factors and lessons learned.

TOPICS
Commentary

This commentary examines state action during the 2021 legislative session to address rising drug costs.

Blog

This memorandum identifies and describes several strategies states deployed to counter false information campaigns during the 2020 election and examines how they may augment states’ COVID-19 vaccine messaging efforts by building better public resilience to false information and restoring trust in official sources of information.

Chart

This map and chart describe each state’s latest emergency orders and actions designed to safeguard residents during the COVID-19 pandemic, including statewide mask requirements and travel advisories.

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.

Report

This report highlights key findings from a survey, interviews, and literature scan to identify pathways to Medicaid leadership positions, challenges, and opportunities for developing a more diverse pool of future Medicaid executives, and the skills necessary to succeed in these roles.

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.

Report

This report examines how many immigrant families have avoided safety net and pandemic relief programs in recent years over concerns that their participation would have adverse immigration consequences.

Brief

This brief summarizes the unique structure of Virginia’s equity work, the strategy and actions taken to date, and success factors and lessons learned.

Webinar & Presentations

This presentation examines the affect of the COVID-19 pandemic on historically under-served populations and strategies to increase Medicaid outreach and enrollment within these communities.

Commentary

This commentary examines that in 2018, the United States had its first decline in drug overdose deaths in decades, with overall drug overdoses decreasing 4.1% from 2017. However, provisional data on overdose deaths released by the CDC indicate that drug overdose deaths rebounded in 2019, rising 4.6% over the previous year.

Blog

This blog examines how Minnesota’s Medicaid expansion was a crucial resource during the COVID-19 pandemic for those who lost their jobs and/or their employer-sponsored health insurance coverage. It is estimated that approximately 29,500 Minnesotans lost their private health insurance coverage between April 2020-July 2020.

Blog

This blog explains how several states have increased COVID-19 vaccine rollout over the past several months by expanding vaccine access to the general adult population and children over 12.

Podcast

This podcast describes how critical conversations about health equity can be productive when there is a shared and agreed-upon language amongst Medicaid agencies.

Podcast

This podcast describes how the past year has seen many sectors of health care increasingly pursue diversity, equity, and inclusion efforts as health equity becomes a more prominent topic.

Report

This report assesses racial disparities in the quality of inpatient care using 11 patient safety indicators that measure rates of adverse patient safety events of hospital-acquired illnesses or injuries.

Report

This report examines how a public option that typically pays Medicare rates would considerably reduce the cost of increasing coverage in the Medicaid gap.

Commentary

This commentary explains how increased flexibility in the delivery and payment of telehealth across many coverage programs, but particularly in Medicaid and CHIP, throughout the COVID-19 pandemic has been a significant shift for some states. Many state officials are considering if and how to adapt rapidly implemented telehealth policies as the nation emerges from the public health emergency. 

Commentary

This commentary examines how in late June, the U.S. Department of Health and Human Services (HHS) issued its first proposed rule governing the health insurance markets and marketplaces.

Blog

This blog describes how the American Rescue Plan Act expanded access to affordable health insurance coverage in a variety of ways.

Commentary

This commentary explains how since March 2020, many states have rapidly leveraged federal and state flexibilities under the public health emergency to expand telehealth capabilities and reimbursement through both public and private payers.

Commentary

This commentary examines how Washington implemented the nation’s first public option for the 2021 plan year and in the first six months of 2021, states made significant progress in advancing public option proposals, with public option legislation advancing in Colorado, Nevada, and Oregon.

Podcast

This podcast covers how effective data measurement is critical for Medicaid programs seeking to advance health equity and better understand different experiences of populations served by the program.

Graphic

This graphic illustrates how federal guidance has prompted lawmakers in a number of states to introduce legislation prohibiting businesses from requiring COVID-19 vaccinations as a condition of work.

Commentary

This commentary explains the federal government’s goal of reducing new HIV infections by 90% by 2030, the CDC has identified two policy strategies that states can employ for HIV prevention – provision of Pre-Exposure Prophylaxis medication and availability of Syringe Service/Exchange Programs.

Commentary

07.2021 /

This expert perspective summarizes the Interim Final Rule (IFR) of the No Surprises Act, the comprehensive federal law banning balance bills in emergency and certain non-emergency settings.

Commentary

This commentary analyzes how the U.S. Departments of Health & Human Services and Treasury have released a proposed rule governing the Affordable Care Act health insurance marketplaces and insurance standards for the plan year 2022.

Commentary

This commentary explains how rising health care costs and increased consolidation of hospitals and provider groups into large health systems have led states into exploring ways to contain costs and provide oversight of the growing market power of large hospitals.

Blog

This toolkit allows states to assess their existing health insurance rate review laws for the authority to regulate hospital cost growth; and proposes model statutory and regulatory text to provide a state insurance commissioner with the ability to condition health insurance rate approval on meeting affordability standards in hospital cost growth.

Report

This report examines how governments and organizations adopt community engagement approaches to collaborate and share power with communities that experience health inequities.

Report

This report examines the U.S. Census Bureau’s Household Pulse Survey to study the relationship between the COVID-19 pandemic and mental health burdens for the United States’ adult population.

Commentary

This commentary examines how recent approval of the Alzheimer’s drug Aduhelm under the U.S. Food & Drug Administration’s Accelerated Approval Program is controversial for a range of reasons, including its projected impact on state Medicaid budgets which will be required to cover the drug, priced at $56,000 a year, despite inconclusive evidence of its clinical effectiveness. 

Graphic

This graphic illustrates how the racial inequities exposed by COVID-19’s case and death rates can guide states as they target testing initiatives, vaccination distribution, and broader initiatives to address inequities in communities of color.

Chart

This chart details the amounts and required oversight of COVID-19 federal funds allocated to hospitals, providers, and states by the Families First Coronavirus Response Act (Families First Act), the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), the Paycheck Protection Program and Health Care Enhancement Act (HR 266), the Consolidated Appropriations Act, 2021, and the American Rescue Plan Act of 2021.

Commentary

This commentary demonstrates how data analysis is an essential tool for advancing health and racial equity.

Blog

This blog explains the harm reduction public health approach that aims to reduce harms related to substance use by treating people with dignity and compassion.

Commentary

This commentary explains how substance use disorders (SUD) and mental health conditions are prevalent among pregnant and postpartum people in the United States, and they have far-reaching consequences for the health and well-being of parents and their children.

Report

This report describes how the US supply of COVID-19 vaccines has increased in recent months, and demand starting to level off most states were at or near having more vaccines available than people who want them as of May 2021.

Chart

This chart demonstrates how states are using a variety of approaches to provide doula services within their Medicaid programs to address inequities.

Commentary

This commentary explains that on June 17 the Supreme Court decisively rejected California v. Texas, the latest lawsuit before the Court that challenged the legality of the Patient Protection and Affordable Care Act of 2010.

Blog

This blog analyzes the accumulating evidence that the pandemic precipitated dangerous changes in the way people consume alcohol in the United States.

Commentary

This commentary explains how Medicaid leaders have significant opportunities to impact the health and well-being of millions but must balance a myriad of federal and state priorities related to fiscal stewardship, quality assurance, program integrity, and more.

Podcast

This podcast talks about the COVID-19 pandemic, ensuing recession, and amplification of issues related to health equity that have forced state Medicaid agencies to evaluate their budgets and investments to better serve Medicaid enrollees.

Blog

This blog post describes how the COVID-19 pandemic has created historically large disruptions to the economy and health insurance coverage at a time when having access to health care is especially important.

Webinar & Presentations

This webinar will provide an overview of the request for applications for NASHP’s upcoming State Policy Academy on Rural Mental Health Crisis Services, which will help states strengthen policies and strategies that support development, coordination, and delivery of mental health crisis services in rural areas.

Brief

This brief describes Nevada's new public option that is intended to provide consumers with comprehensive, but lower cost health insurance.

Commentary

This commentary explains how the COVID-19 pandemic has exacerbated adverse childhood experiences, and children could be facing a surge of poor physical and mental health outcomes without adequate investment and focus to reduce the effects of ACEs.

Blog

This blog post highlight's the Virginia Department of Medicaid Services' efforts, successes, and challenges in building a culture of equity.

Report

This report identifies challenges and promising strategies for addressing maternal health inequities during the COVID-19 crisis and opportunities for sustained improvements to maternal health after the pandemic.

Brief

This brief examines how public health activities in the United States are critical to disease prevention, health promotion, environmental health monitoring, and emergency preparedness.

Brief

This brief examines how state are shifting strategies to increase accessibility and engage communities with low COVID-19 vaccine uptake.

Podcast

This podcast discusses how People who live in rural areas often experience health disparities caused by barriers to health care, such as lack of transportation, a shortage of providers, and closures of rural hospitals.

Blog, Commentary

This blog overviews the state strategies to help ensure the equitable administration of COVID-19 vaccine.

Blog

This blog highlights how state-based Marketplaces are launching integrated and innovative outreach campaigns—including tapping into existing public health and COVID-19 vaccination efforts—to reach residents and alert them to the fact that the American Rescue Plan Act provides more people than ever before with access to financial help to pay for health insurance.

Blog

This blog examines how the The American Rescue Plan of 2021 (ARP) — signed into law on March 11, 2021 – provides states with a one-year, 10 percentage-point increase to the federal medical assistance percentage (FMAP) for Medicaid expenditures on home and community-based services (HCBS) for children and adults.

Blog

This article analyzes a key provision of the American Rescue Plan (ARP) to the establishment of the $350 billion Coronavirus State and Local Fiscal Recovery Funds (Fiscal Recovery Funds) for the eligible state, local, territorial and Tribal governments (Recipients) to respond to the COVID-19 public health emergency (PHE).

Report

While more than half of US adults have received a COVID-19 vaccine, the slowing pace of vaccinations hampers efforts to contain the pandemic.

Report

This brief provides evidence on persistent chilling effects among low-income immigrant families during the pandemic, drawing on data from the Urban Institute’s Well-Being and Basic Needs Survey.

Blog

This blog will provide up-to-date information on the impact of the COVID-19 pandemic on employment, spending, food and housing security, disruptions to education, physical and mental wellbeing, and health insurance and access to care.

Report

This report outlines promising state examples of accountable care organizations’ incentives or requirements that can be used to advance health equity.

Brief

This issue brief documents how states are collecting information about race, ethnicity, and language on their Medicaid applications.

Brief

This updated brief describes the American Rescue Plan Act’s home and community-based services enhanced federal medical assistance percentage (FMAP) provision, CMS’s recent implementation guidance, and considerations and next steps for state policymakers.

Journal Article

This blog provides updates on the current COVID-19 vaccine incentives being utilized across the country.

Journal Article

This blog serves as a resource page providing policy options and considerations for states interested in improving access to high-quality mental health care for youth and adults.

Commentary

This article highlights NASHP’s Center for State Rx Drug Pricing five years of state action to lower drug costs.

Commentary

This blog outlines the Center for Health Care Strategies' recent interview with internist and pediatrician Nathan Chomilo, MD, Medical Director of Minnesota Medicaid and MinnesotaCare to get his perspectives on priority opportunities for addressing health equity for people served by the state’s Medicaid program.

Brief

This brief describes a process used to identify a set of patient- and staff-reported measures for the Advancing Integrated Models initiative, eight pilot sites implementing approaches that seek to improve integrated, person-centered care models for adults and children with complex health and social needs.

Commentary

This blog uses data from the U.S. Census Bureau’s Household Pulse Survey to illuminate the social barriers affecting the COVID-19 vaccine rollout by looking at vaccine hesitancy among U.S. adults (age 18 and older) for January – March 2021, by region, race/ethnicity, income, and reported reasons for hesitancy.

Graphic

This chart provides information on state and territorial plans for phased allocation of COVID-19 vaccines.

Webinar & Presentations

This webinar explores state strategies to improve COVID-19 vaccine confidence and reach more communities in an equitable and efficient manner.

Webinar & Presentations

This podcast features Lynnette Rhodes, executive director of medical assistance plans at the Georgia Department of Community Health, and Cindy Beane, commissioner at the West Virginia Bureau for Medical Services, discussing leadership challenges and successes they have faced in developing equitable vaccine distribution strategies and the status of their respective states’ vaccine rollout.

Commentary

This commentary reviews provisions of the U.S. Departments of Health & Humans Services and Treasure final 2022 Notice of Benefit & Payment Parameters of particular import to the state-based marketplaces and state insurance regulators.

Commentary

This brief analyses the state option established by the American Rescue Plan to provide community mobile crisis intervention services for a five-year period beginning in April 2022.

Commentary

This blog examines the pace of COVID-19 vaccination rollout in the United States as well as concerns that these early prioritization decisions and the existing mechanisms of the vaccine rollout have created challenges in equitably distributing the COVID-19 vaccine and could worsen existing pandemic-related health inequities. 

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.

Commentary

This commentary looks at what data states are publicly reporting related to vaccine administration and features an interactive map that explores the extent to which states are reporting vaccine administration data breakdowns by age, gender, race, ethnicity, provider type, and level of geography.

Report

This report examines evidence-based policymaking and how it can be improved.

Report

This report examines how the pandemic and related economic downturn affected the need for safety net supports; actions states are taking to mitigate the immense hardship the pandemic has caused; implications for racial equity; and challenges, opportunities, and questions facing state leaders.

Report

This report examines how state Medicaid and other health programs responded to the COVID-19 pandemic and its related economic downturn.

Webinar & Presentations

This webinar is the second in a three-part webinar series focusing on opportunities for early childhood and Medicaid programs to better support families with young children in the current and post-pandemic environment.

TOPICS
Commentary

This commentary draws from examples of states participating in the Aligning Early Childhood and Medicaid program and additional states to explore strategies for leveraging cross-agency collaborations and strengthening Medicaid to support early childhood and parental mental health during the COVID-19 pandemic crisis and beyond.

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.

Brief

This brief summarizes the time frames for emergency measures for Medicaid and Children's Health Insurance Program flexibilities during the COVID-19 pandemic.

Webinar & Presentations

This presentation outlines the key provisions of the Medicaid program.

Report

This report includes a collection of summarized evidence on how Medicaid can improve the health of states' residents and communities.

Brief

This brief highlights the stories of people who have benefited from Medicaid coverage during the COVID-19 pandemic.

Brief

This brief highlights the stories of people with Down syndrome who have benefited from Medicaid coverage.

Brief

This brief highlights the stories of people with heart conditions who have benefited from Medicaid coverage.

Commentary

This commentary tells the story of Adrian, who serves as assistant director at a Medicaid-funded program to help youth and families receive critical services.

Commentary

This commentary tells the story of Nancy, whose Medicaid coverage allowed her to access mental health care to manage past trauma.

Commentary

This commentary tells the story of Naomi, whose Medicaid coverage helps provide critical services for her son born with chronically and medically complex conditions.

Commentary

This commentary tells the story of Maddy, who was born with Asperger syndrome and whose Medicaid coverage helps provide transportation to her two part-time jobs.

Commentary

This commentary tells the story of Nicholas, who was born with autism and whose Medicaid coverage helps with household services and transportation to his job.

Commentary

This commentary tells the story of Silvia, who created a therapy organization in her rural community that provides services to Medicaid populations.

Commentary

This commentary tells the story of Maria, whose Medicaid coverage helps her to provide critical services to her daughter born with Down syndrome and other medical conditions.

Commentary

This commentary tells the story of Ben, born with cerebral palsy, whose Medicaid coverage has helped him access a wheelchair and other essential equipment.

Commentary

This commentary tells the story of Brook, whose Medicaid coverage helps her provide critical services for her son born with cystic fibrosis.

Commentary

This commentary tells the story of Matthew, who was born with Down syndrome and whose Medicaid coverage helps him to live an independent life.

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.

Report

This report describes trends and variation in alcohol-involved death rates at the state and national levels and among demographic subgroups using vital statistics data from the Centers for Disease Control and Prevention for 2006 to 2019.

Brief

This toolkit outlines template language that state-based marketplaces can adapt and use in consumer-facing communications regarding new Internal Revenue Service (IRS) information about how consumers can receive relief from repayment of excess advance premium tax credits for 2020 under the American Rescue Plan Act.

Report

This report describes the American Rescue Plan Act's (ARPA) Medicaid matching rate provision and also assesses its fiscal impact for each of the states that have not yet expanded Medicaid, while comparing the available new federal dollars to the cost of expansion.

Brief

This brief seeks to show the maximum potential impact of the American Rescue Plan Act's (ARPA) enhanced marketplace subsidies on health insurance coverage by modeling the new subsides as if they were permanent changes.

Report

This report assesses how material hardship changed during the first year of the COVID-19 pandemic, between December 2019 and December 2020.

TOPICS
Commentary

This commentary tells the story of Laticia, who grew up in the foster care system and was able to access Medicaid coverage that helped her get the mental health care she needed.

Commentary

This commentary highlights the need for states and localities to align varied federal funding streams to maximize effectiveness and sustainability.

This journal article describes patterns of perinatal uninsurance and health outcomes of women experiencing uninsurance.

Report

This report describes nonelderly adults’ perceptions of discrimination and unfair judgment while seeking health care in the months leading up to and during the COVID-19 pandemic.

Commentary

This commentary tells the story of Kerstin, who was born with cerebral palsy and relies on Medicaid coverage for her extensive medical needs.

Commentary

This commentary tells the story of Juan, who was born with cerebral palsy and whose Medicaid coverage helps him to work and live an independent life.

Commentary

This commentary features discussions with several state Medicaid officials to learn more about how their agencies—and specifically their Medicaid managed care organizations—are leveraging partnerships and data to advance their vaccination efforts.

Report

This report highlights state-level strategies that aim to improve reporting of race and ethnicity data in vaccine distribution, use data to plan for allocation and distribution according to need, overcome systemic inequities that lead to differential access to COVID-19 vaccinations, and build trust in COVID-19 vaccines and COVID-19 vaccination processes.

Commentary

This commentary outlines how vaccinating children against COVID-19 will be crucial to reaching herd immunity in the United States.

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 investigates differences in Black and white patient safety measures using complete hospital discharge records from 26 states in 2017 and further examines whether some of these differences in patient safety quality can be attributed to the hospitals into which they are admitted.

Report

This report outlines key factors for governors and state leaders to consider when balancing state budgets and making difficult decisions about funding Medicaid during the COVID-19 crisis and subsequent economic downturn.

Commentary

This commentary details how states are responding to racial and ethnic disparities in the COVID-19 pandemic, as well as how states are looking beyond the pandemic.

Commentary

This commentary tells the story of Matthew, who was born with fetal alcohol syndrome and whose Medicaid coverage has many covered medical and behavioral needs.

Commentary

This brief summarizes the American Rescue Plan Act of 2021, a $1.9 trillion COVID-19 relief bill.

Brief

This brief provides updates to Medicaid Managed Care Contract Language: Health Disparities and Health Equity, published by SHVS which includes excerpts from managed care contracts, procurement questions, and other policy documents from twelve states and the District of Columbia.

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. 

Report

This paper shares strategies that governors and other state leaders can pursue to expand access to data and technology to improve public health. 

Report

This report analyzes states’ experiences trying to resolve surprise medical payment disputes between health care providers and insurers.

Webinar & Presentations

This webinar offers insights and solutions for health care organizations and government entities to build effective partnerships with the individuals and communities they serve to better address their health and social needs.

Brief

This series of policy briefs include evidence-based recommendations to help people through the immediate health and economic crises and longer-term recommendations to ensure a fair and just opportunity for health.

Commentary

This commentary tells the story of John, whose emergency surgery for a hernia was covered by Medicaid.

Commentary

This commentary provides an overview of the states introducing legislation to prevent employers from mandating their employees get vaccinated against COVID-19.

TOPICS
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 examines how the Johnson & Johnson COVID-19 vaccine can aid vaccine distribution, but must have stronger messaging surrounding its efficacy.

Brief

This brief uses data from the Minnesota Department of Health to show how insurance rates in the state were relatively unchanged by the COVID-19 pandemic.

Webinar & Presentations

This webinar addresses key provisions of the American Rescue Plan package, the $1.9 trillion budget reconciliation package signed into law by President Biden on March 11.

Report

This analysis examines historic vaccination patterns among adults using data from the 2016-18 National Health Interview Survey.

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

Report

This report shares considerations for health care organizations and government entities seeking to build effective partnerships with the individuals and communities they serve to better address their health and social needs.

Report

This report highlights a program in Tennessee as a model of success for taking on adverse childhood events (ACEs).

Dataset

This toolkit looks at Medicaid enrollment trends from the beginning of the COVID-19 pandemic through January 2021.

Commentary

This commentary tells the story of Robert, who was able to recover from addiction and receive mental health care services through Medicaid.

Commentary

This commentary presents top-level findings from new data on vaccination rates among U.S. adults living in households.

Webinar & Presentations

This webinar features discussions on how states can use performance rates and disparities analyses from Medicaid managed care programs in other states to determine where disparities are likely to exist in their own state and develop interventions.

Report

This report provides excerpts of health disparities and health equity contract language from Medicaid managed care contracts and requests for proposals from 12 states and the District of Columbia as well as the contract for California’s state-based marketplace, Covered California.

Commentary

This commentary outlines four recommendations for states to engage their managed care plans to assist in efforts to successfully and rapidly vaccinate the Medicaid population for COVID-19.

Report

This report explores vaccine hesitancy among nonelderly adults with new data from the Urban Institute’s Well-Being and Basic Needs Survey.

Commentary

This commentary tells the story of Theresa, who was able to care for her daughter's health needs as she transitioned to a new job.

Brief

This toolkit outlines state options to address Medicaid spending without harming enrollee health and provider stability and access to care.

Report

This report examines delayed or forgone care during the pandemic for nine types of health care services and assesses patterns by race/ethnicity, income, and the presence of physical and mental health conditions.

Commentary

This commentary tells the story of Kaui, whose daughter's complex medical needs were covered by a Medicaid waiver that allowed the family to access a health aide, ventilator, and other essential care services.

Commentary

This commentary tells the story of Michael, who supported his family with Medicaid coverage after 26 years as an educator with employer-sponsored insurance.

Commentary

This commentary discusses the importance of waiving costs for COVID-19 testing.

Commentary

This commentary outlines how state officials are working to simultaneously build and strengthen systems to track and address disparities in COVID-19 vaccine administration.

Report

02.2021 / By Milbank Memorial Fund

This issue brief summarizes the current landscape of payment reform initiatives addressing social determinants of health.

Brief

This brief draws its key findings from the Michigan Coronavirus Racial Disparities Interim Report and other sources to explore Michigan’s approach, key features, results to date, and lessons learned.

Report

02.2021 / By Urban Institute

This report examines primary care physician responses to the COVID-19 pandemic.

TOPICS
Commentary

02.2021 / By Urban Institute

This commentary outlines how high-quality race and ethnicity data on COVID-19 vaccine distribution is crucial for equitable vaccine distribution.

Commentary

This commentary tells the story of Jamie, whose daughter was born with a genetic syndrome that led to complex medical needs. Medicaid covers her daughter's health needs so that she is able to continue living at home with her family.

Webinar & Presentations

In this video, speakers from the Robert Wood Johnson Foundation and the National Health Security Preparedness Index (NHSPI) discuss ways NHSPI can be used to guide change, the role geographic differences play in preparedness levels, how the COVID-19 pandemic has exposed health inequities, and much more.

Commentary

This commentary discusses the results of the Household Pulse Survey, which was produced by the U.S. Census Bureau regarding COVID-19 vaccines.

TOPICS
Report

This report discusses the states who are are reporting setting-specific COVID-19 outbreaks as of November 2020 and highlights promising examples that others can look to as they consider adapting and expanding COVID-19 reporting.

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.

Commentary

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

Commentary

This commentary provides an updated view of the current state budget landscape and examines in greater detail the health care implications of choices states made to address deficits and balance their budgets in the face of the severe budget shortfalls they confronted for fiscal year 2021.

Report

This report assesses awareness of and experiences with publicly subsidized coverage options among adults who were uninsured in September 2020.

Report

This brief provides a high-level summary of the Center for Medicare and Medicaid Services guidance related to: (1) conducting redeterminations for Medicaid enrollees who were continuously enrolled; (2) terminating, or extending where appropriate, temporary flexibilities; and (3) developing a consumer and provider communication strategy.

Commentary

This commentary examines the extent to which all 50 states are reporting vaccine administration data breakdowns by age, gender, race, ethnicity, provider type, and level of geography.

Report

This report describes a model estimating program spending and out-of-pocket spending by Medicare Advantage enrollees at the county level using plan-level and county-level data sources from the Centers for Medicare & Medicaid Services.

Report

This report identifies six connected strategies to guide payers, including Medicaid agencies and managed care organizations, in developing equity-focused value-based payment approaches to mitigate health disparities at the state and local levels.

Commentary

This commentary tells the story of Nicole. Nicole has autism, anxiety, and a number of other health challenges, which Medicaid helps her manage so she can work.

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 tells the story of Maria and her son Tyler. Tyler was diagnosed with Sotos syndrome shortly after his birth, a condition that can result in overgrowth and delayed development.

Report

This report describes how the COVID-19 pandemic financially affected five safety net hospitals as of summer 2020, including the costs of preparing for and operating during the pandemic, the pandemic’s impact on their revenues, the federal financial relief they have received, and implications for policy and practice.

Commentary

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

Graphic

This chart shows how each state is prioritizing populations in its vaccination distribution plans.

Report

01.2021 / By Urban Institute

This brief uses new data from the second wave of the Urban Institute’s Coronavirus Tracking Survey, conducted September 11 through 28, 2020, to explore the pandemic’s impact on housing stability and renters’ vulnerability to eviction.

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

01.2021 / By That's Medicaid

This commentary tells the story of Jessica, a mother who contracted cytomegalovirus which resulted in her daughter Natalie being born with a disability. 

Webinar & Presentations

This webinar features experts reviewing the provisions of the No Surprises Act and implications for states, providing an overview of the next steps for implementing the federal balance billing protections and what the law will mean for state-level protections.

Report

This report describes the methodology of the Health Insurance Policy Simulation model and presents the model’s 2020 current-law baseline, which reflects health care and coverage after 2020 Open Enrollment and before the COVID-19 pandemic.

Commentary

This commentary analyzes the indirect costs of rising health care spending and uninsurance in the year prior to the COVID-19 pandemic and examines trends as well as comparisons across race/ethnicity and educational attainment.

Journal Article

01.2021 / By Health Affairs

This blog post examines early evidence regarding health care spending, utilization, employment, and prices for 2020, and looks at how COVID-19 might affect these indicators going forward.

Commentary

This commentary explores the impact of Medicaid expansion during the COVID-19 pandemic and associated job losses.

Commentary

This commentary explores states' approaches to contact tracing during the pandemic.

Commentary

This commentary explores the high levels of profitability insurers have seen in 2020. 

Commentary

This commentary explores Michigan’s efforts in improving access and adherence to asthma medications and devices, as well as promoting the use of evidence-based interventions to improve access to important asthma devices and services.

Commentary

This commentary explores Utah’s Medicaid and public health partnership and its efforts to expand Medicaid coverage of the state’s asthma home visiting program.

Brief

This brief summarizes key learnings from conversations with 50 leaders of state Medicaid programs across 14 states about implementing strategies to improve consumer engagement in policy and program planning.

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. 

Brief

This brief explores the key challenges faced by the rural ambulatory safety net in delivering primary care and behavioral health services since COVID-19 and the policy changes that have been implemented in response.

Commentary

This commentary tells the story of Brianna, who signed up for Medicaid in 2016 and was able to receive diagnostic procedures that eventually determined that she suffers from endometriosis and fibromyalgia.

Commentary

This commentary tells the story of Leah, who runs an organization to help many low-income Medicaid recipients in her community with needed services.

Commentary

This commentary tells the story of Maria.  When her son Tyler was diagnosed with Sotos syndrome shortly after his birth, his parents signed up for Medicaid through assistance at the hospital and the program has supported him since.

Commentary

This commentary tells the story of Jessica. While pregnant she contracted cytomegalovirus and it resulted in her daughter Natalie being born with a disability.

Commentary

This commentary tells the story of Chrystal.  Medicaid was her only option for health coverage when she was a full-time student in Milwaukee, but she was almost denied it when her scholarships and education grants were counted as income.

Commentary

This commentary tells the story of Aliyah. A college graduate and social worker in her mid-20s, spent part of her youth in the Louisiana foster care system, which allowed her to access Medicaid services.

Report

This report draws on interviews with maternal care stakeholders and available literature and reports to assess if and how our current data systems provide the information needed to track inequities in maternal health outcomes.

Report

This report explores how the pandemic contributed to inequitable patient and provider experiences with maternal health care during the prenatal, delivery, and postpartum periods.

Report

This report examines the impact of COVID-19 on essential and nonessential workers needing to work in person at even higher risk for contracting COVID-19 and the need for policies and systems to protect and support them.

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.

Commentary

This commentary describes the legal authority that permits states to continue to authorize Medicaid reimbursement for audio-only telehealth after the public health emergency ends.

Commentary

This commentary focuses on several provisions of the proposed 2022 “Notice of Benefit & Payment Parameters" that have implications for state oversight of insurance markets and the state-based marketplaces.  

Commentary

This commentary explores the ways in which states are working to confront long-standing racial and ethnic disparities that the COVID-19 pandemic is laying bare.

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 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 conversation explores the ways in which Louisiana continues to provide harm reduction services during the COVID-19 pandemic.

Brief

This brief explores impediments and accelerants to advancing health equity as states are increasingly being called upon to drive change.

Brief

This brief explores the shares of a typical nongroup insurance premium attributable to essential health benefits and estimates the financial implications should they be eliminated from the nongroup insurance benefit package.

Report

This report describes emerging opportunities and contributing success factors for advancing multi-sector data-sharing partnerships to improve health and well-being and advance equity.

Brief

This brief explores the ways in which public and private health insurance coverage options bolstered by the Affordable Care Act are mitigating the impact of employer-sponsored insurance losses during the COVID-19 pandemic.

Report

This report explores key considerations and outlines promising tactics for states to use in evaluating new Medicaid policies.

Commentary

This commentary examines state-based health insurance marketplaces' efforts to actively connect consumers to health insurance coverage during the annual open enrollment period that launched Nov. 1. 

Webinar & Presentations

This tool helps states gather detailed information from hospitals about their community benefit expenditures and activities during the pandemic.

Webinar & Presentations

This map current state activity related the Affordable Care Act’s Section 1332 waivers.

Webinar & Presentations

This podcast explores strategies public-sector leaders have implemented in response to the COVID-19 pandemic.

Webinar & Presentations

This guide provides answers to frequently asked questions about selecting and using health insurance coverage and applying for financial help for 2021's open enrollment period.

Commentary

This commentary explores recent federal efforts to expand private insurance coverage of a COVID-19 vaccine, and provides a roadmap for states to close remaining coverage gaps that could inhibit vaccine uptake.

Commentary

This commentary considers ways states could potentially redirect insurers’ extra cash to benefit policyholders and the public.

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 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 uses data from September 11–28, 2020 to compare food insecurity in September with levels earlier in the pandemic after major relief legislation was passed.

Report

This report assesses how adults and their families were faring six months into the COVID-19 pandemic.

Report

This report explores the ways in which Medicaid and CHIP largely transfer funding from higher-income states to lower-income states.

Brief

This brief explores the ways in which various organizations worked together to improve access to and use of tobacco cessation benefits among Minnesota's Medicaid population with the goal of reducing commercial tobacco use in this population.

Webinar & Presentations

This podcast episode examines how good public administration works applies in practice, featuring the experiences of two Medicaid directors.

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 importance of clearly communicating to consumers what health coverage options are available for the remainder of 2020 and heading into 2021. 

Commentary

This commentary explores the complex question of which health care payers will cover the costs of COVID-19 vaccine administration.

Commentary

This commentary tells the story of Susan, who enrolled in Medicaid after losing her job of 21 years due to the COVID-19 pandemic.

Brief

This brief explores the response to the COVID-19 crisis, taking stock of what we have learned and how we have changed.

Commentary

This commentary tells the story of Estie, whose lifesaving care was covered by Medicaid when her lungs collapsed when she was three months old.

Commentary

This commentary tells the story of Gene. After an accident left him quadriplegic at age 17, Medicaid covers needed help with his daily activities.

Webinar & Presentations

This podcast episode focuses on how vision and purpose, communication, planning for action, and balancing political and strategic agility apply in practice during the COVID-19 pandemic.

Commentary

This commentary discusses how, as development of a COVID-19 vaccine continues, states are racing to develop vaccine distribution plans.

Commentary

This commentary covers how states are working to ensure equitable distribution of resources and funding to promote health and safety for all during the COVID-19 pandemic.

Brief

This brief provides an introduction to screening for social risk factors, the first step most states are taking through their Medicaid managed care programs to address how social determinants of health influence enrollees' health status and spending.

Report

This report examines how Medicaid agencies in 40 states select managed care organizations to contract with, how contract terms are set, and how performance is evaluated.

Journal Article

10.2020 / By Health Affairs

This blog describes some of the limited actions states may take to alleviate fiscal pressure due to the COVID-19 pandemic through the management of their contracts with Medicaid managed care organizations.

Commentary

This commentary tells the story of Milly, whose Medicaid coverage provided the care she needed to get through her breast cancer diagnosis.

Commentary

This commentary tells the story of Raevin, whose daughter's medical issues were covered by Medicaid.

Commentary

This commentary tells the story of an innovative program in Oregon that provides Medicaid and low-income patients access to healthy produce from local farms.

Dataset

This toolkit provides a detailed look at 2020 Medicaid enrollment trends, including enrollment details by state across four eligibility categories.

Brief

This brief reviews the evidence on how the Affordable Care Act has affected individual and family health care coverage, access, affordability, hospital finances and national health expenditures.

Commentary

This commentary tells the story of Steve and Erin, whose growing family was covered by Medicaid while Steve studied to become a pastor.

Commentary

This commentary tells the story of Kile, who manages his developmental disabilities with the support of services covered by Medicaid.

Commentary

This commentary tells the story of Susie and her daughter Tymia, who has sickle cell disease. Medicaid covers Tymia's prescription drugs and life-saving surgeries.

Commentary

This commentary tells the story of John, a counselor for a nonprofit AIDS support organization. Medicaid helps cover his HIV medication as well as manage his diabetes, lupus, and heart problems.

Commentary

This commentary tells the story of Latrice, an early learning educator, and her daughter Makayla, who was born with heart complications. Medicaid serves as secondary insurance for the first year of Makayla's life.

Webinar & Presentations

This webinar explores the Buying Value suite of resources to support states' use of performance measures as they assess and improve value with managed care plans and accountable provider entities. 

Brief

This brief considers how a Supreme Court ruling overturning the Affordable Care Act would affect average people and illustrative, hypothetical families in different circumstances.

Commentary

This commentary provides suggestions states can use to improve the completeness of Medicaid data on enrollee race, ethnicity, and language. 

Commentary

This commentary examines the impact that recent postal delays, COVID-19-related housing and economic crises, and natural disasters have had on state Medicaid and Children’s Health Insurance Program agencies.

Commentary

This report examines Kentucky and Virginia's adapted outreach efforts to help make enrollment as easy as possible to ensure access to critical coverage and care.

Commentary

This commentary tells the story of Steve, a Kentucky resident whose family was covered by Medicaid as he put himself through seminary school.

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.

Report

This report features lessons learned from Arizona and Michigan and supplements earlier materials on building complex care programs and using a housing as health care approach for complex care populations.

Webinar & Presentations

This webinar features experts reviewing examples of specific strategies states implemented between April and August 2020 to increase payments to providers in financial distress as a result of decreased health care utilization.

Report

This report measures changes in insurance coverage between April 23–May 12 and July 9–21, 2020 to better understand how the recession caused by COVID-19 affected insurance coverage.

Commentary

This commentary examines how proposals to protect patients from aggressive medical debt collection during the COVID-19 pandemic could serve as a model for the future.

Commentary

This commentary highlights several strategies states can pursue to help ensure a successful open enrollment period this year amid the COVID-19 pandemic.

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.

Commentary

This commentary explores how states are confronting the challenges that COVID-19 poses to dental care and oral health access in the United States.

Webinar & Presentations

This webinar details how three provider organizations are using population health management approaches to care for people with complex needs amid COVID-19.

Commentary

This commentary explores the key role Medicaid programs play in helping the health care system make the transition to the new normal of the COVID-19 crisis.

Webinar & Presentations

This webinar walks through tools states can use to increase payments to providers through both fee-for-service and Medicaid managed care, despite COVID-19 driven changes to utilization.

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. 

Brief

This brief compares four studies that project the effects of the COVID-19 recession on employment-based health insurance coverage and the number of uninsured people in 2020.

Commentary

This commentary examines the characteristics of hospitals that received and did not receive the first round of high-impact COVID-19 payments to examine how well the Depart of Health and Human Services (DHHS) targeted the $12 billion to hospitals in early hot spots.

Report

This report examines examples from two state Medicaid programs and a nonprofit quality measurement and reporting organization of the data sources used to identify patients’ social risk factors when risk-adjusting payments or measuring quality.

Commentary

This commentary tells the story of Jim, who overcomes the challenges of living with cerebral palsy through services covered by Medicaid.

Commentary

This commentary tells the story of Linda, a high school teacher whose job does not provide health insurance benefits, and is therefore covered by Medicaid.

Commentary

Espri is a self-employed farmer whose family is covered by Medicaid in Indiana.

Commentary

Noah enrolled in Medicaid in Maryland when he lost his job and health coverage due to the COVID-19 pandemic.

Commentary

Sarah, a Michigan resident with multiple sclerosis, was covered by Medicaid during pregnancy.

Commentary

This commentary summarizes recent guidance from the Centers for Medicare & Medicaid Services on permitting health insurance issuers to provide certain premium rebates for 2020 and the conditions rebates must meet.

Commentary

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

Commentary

This commentary explores how states have been required to make numerous changes to their eligibility and enrollment systems, operations, and policies, in order to comply with the enhanced Federal Medicaid Assistance Percentages.

Commentary

This commentary provides an overview of how COVID-19 is affecting state budgets and state health programs.

Commentary

This commentary recommends specific steps for state Medicaid programs to ensure state residents receive needed services during the COVID-19 pandemic, with a specific focus on Medicaid managed care organization (MCO) enrollees.

Commentary

This commentary discusses how potential requirements for workplace coronavirus testing may force essential workers to bear a disproportionate share of the cost.

Report

This report examines activity across six states that are exploring social insurance initiatives to help finance long-term services and supports.

Report

This report compares 2017 to 2018 changes in insurance coverage across three national surveys: The American Community Survey, Current Population Survey, and National Health Interview Survey. 

Webinar & Presentations

Two webinars on open enrollment period 2021 explore COVID-19 implications and effective strategies to consider as states design their outreach and education campaigns in a shifting health care environment.

Commentary

This commentary discusses how state Medicaid, children’s health insurance programs, and health insurance marketplaces prepare for an expected increase in demand due to COVID-19, an economic downturn and ensuing budget crises, and unpredictable federal relief efforts.

Commentary

This commentary discusses the decision to shift COVID-19 data reporting from the Centers for Disease Control and Prevention to the Department of Health and Human Services, and subsequent warnings from state officials.

Commentary

This commentary features a conversation with health leaders in Colorado about how their agencies partnered to support families with young children during the COVID-19 pandemic, as well as the challenges they faced. 

Commentary

In this podcast, Medicaid experts discuss how vision coherence is important for effective leadership.

Brief

This brief highlights how Nebraska’s Medicaid agency and its Division of Public Health partnered to share antibiotic prescribing information between Medicaid claims and evaluation and management codes to determine where targeted education and outreach efforts were needed.

Commentary

In this podcast, Medicaid experts share five tips for leaders to address today’s VUCA (volatility, uncertainty, complexity, and ambiguity) challenges within their organizations.

Commentary

This commentary outlines how state legislative sessions took a hit this year from the novel coronavirus pandemic.

Commentary

This commentary outlines recent data that examines how difficult it will be to predict the effect of the COVID-19 pandemic on the uninsured rate.

Commentary

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

Graphic

This map provides information on each state's contact tracing program model, workforce, lead agencies, funding, technology, and contact tracing process.

Commentary

This commentary provides updated interactive maps that explore the current status of all 50 states and the District of Columbia’s reporting of COVID-19 case and death data breakdowns by age, gender, race, ethnicity, and health care workers.

Commentary

This commentary considers five frequently heard worst-case scenarios related to the Affordable Care Act and provides research evidence that these fears did not come to pass.

Report

This report uses data to examine how the COVID-19 pandemic has affected food insecurity and access to school meals and charitable food distribution for adults and their families in the United States.

Report

This report uses a microsimulation model to incorporates data on employment losses by industry, state, and demographic characteristics, allowing researchers to simulate employment losses and associated health insurance coverage.

Webinar & Presentations

This webinar highlighted how states should adapt their strategies during COVID-19 as they plan their open enrollment outreach and education campaigns, and how to ground these efforts in terms of audience targeting and messaging.

Commentary

This commentary features an interview on how health care systems can use trauma-informed care to support patients and frontline workers during the COVID-19 pandemic.

Commentary

This commentary reviews how various states are addressing their home visiting programs and implementing more telehealth services during the COVID-19 pandemic.

Graphic

This chart describes each state’s dates for phased COVID-19 reopenings and any delays or reclosings resulting from the recent resurgence of infections, and indicates which states currently have statewide mask requirements.

Webinar & Presentations

In this webinar, experts present key findings from a new COVID-19 state resource guide on federal and state Medicaid flexibilities and how they are being deployed to help ensure access to long-term services and supports.

Commentary

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

Report

This report uses new data from the first wave of the Urban Institute’s Coronavirus Tracking Survey to examine health care affordability problems and avoidance of care due to concerns about exposure to COVID-19.

Report

This report provides the first nationally representative estimates of changes in coverage during the initial months of the recession induced by the COVID-19 pandemic.

Report

This report outlines six key steps for governors to build and support a contact tracing workforce to respond to COVID-19.

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

This commentary provides an overview of the state of COVID-19 testing in the United States.

Commentary

This commentary revisits the history of certificate-of-need and state health planning efforts to inform future decisions as hospitals and state policymakers plan for a post-COVID-19 health care system.

Commentary

This commentary presents stories of innovative approaches to address food insecurity needs exacerbated by the COVID-19 pandemic.

Commentary

This commentary presents data on how the COVID-19 pandemic is affecting “deaths of despair” caused by suicides, alcohol abuse, and overdoses from opioids and other drugs. 

Journal Article

This journal article focuses on how state-level Medicaid program flexibility and emergency waivers can expand Medicaid financial eligibility for long-term supports and services for at-risk individuals.

Commentary

This commentary provides a snapshot of how states are navigating fiscal challenges of the COVID-19 pandemic, given declining revenues and rising spending demands.

Report

This report examines insurer responses to the COVID-19 pandemic to assess the effect the pandemic has had on their companies as well as actions they have taken to aid in the pandemic response.

Dataset

This dataset examines projected changes in federal and state Medicaid and CHIP expenditures for scenarios during the COVID-19 pandemic.

Commentary, Dataset, Report

This dataset shows that national health security capabilities continue to gain strength, but at a rate that has slowed down over time.

Commentary

This commentary examines the importance of home visiting during the COVID-19 pandemic, as families face new or expanding challenges like domestic violence, substance use, or mental health needs.

Commentary

This commentary assesses how insurers are developing their 2021 premium rates by reviewing preliminary actuarial findings in the District of Columbia, New York, Oregon, Vermont, and Washington.

Commentary

This commentary discusses how some states are bolstering their community health workforces to curb COVID-19 and improve the quality of care delivered to communities that have faced decades of discrimination.

Commentary

This commentary examines how states are developing COVID-19 testing programs without clear federal guidance.

Commentary

This commentary provides an overview of new federal guidance that attempts to answer questions about requirements for coverage of COVID-19 testing services.

Commentary

This commentary features insights from state health agencies and health insurance marketplaces that have actively identified opportunities to conduct outreach in communities disproportionately affected by COVID-19.

Report

This report provides excerpts of health disparities and health equity contract language from Medicaid Managed Care contracts from five states, Washington, D.C., and the contract for California’s Health Exchange, Covered California.

Commentary

This commentary provides interactive maps that explore the status of the 50 states' and District of Columbia’s reporting of COVID-19 case and death data breakdowns by demographic categories. 

Commentary

This commentary, part of the Innovations Amid COVID-19 series, profiles a clinic's innovative approach to using online data to identify high-risk patients.

Commentary

This commentary discusses how job losses and reductions in hours have resulted in millions losing employer coverage or the income needed to pay premiums, increasing the uninsured rate.

Commentary

This commentary provides a summary of state efforts to capture information on the coronavirus pandemic through state and local surveys fielded between March 2020 and May 2020.

Brief

This toolkit is intended to serve as a resource for states as they begin to strategize about reopening and plan for the next phase of the COVID-19 pandemic.

Brief

This brief provides a chart describing the effective dates of various federal provisions to allow for temporary flexibilities in the Medicaid and Children's Health Insurance Program programs.

Brief

This brief provides an overview of New Hampshire’s recent directed payment to six types of essential Medicaid providers in order to help them keep their doors open during the COVID-19 pandemic.

Report

Stakeholders in six states assess the impact of Medicaid insurers increasing dominance in the ACA marketplaces.

Commentary

This commentary outlines three key policy steps to help health centers survive in the short term and thrive beyond the COVID-19 crisis.

Webinar & Presentations

In this webinar, experts reviewed the current telehealth policy landscape and considerations for states as they design their post-apex telehealth policies.

Commentary

This commentary outlines how continuity between Medicaid and the marketplace is more important than ever.

Commentary

This chart describes each governor’s stay-at-home order, penalties for noncompliance, and dates when governors plan to reopen their economies and resume non-essential procedures.

Commentary

This commentary compiles thoughts from navigators across five states using the federally-facilitated marketplace about how they are faring during the COVID-19 pandemic.

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 shows how every state and Washington, D.C. are innovating and expanding contact tracing to contain COVID-19 infections and reopen their economies. 

Report

This report examines the implications if the outstanding 15 states chose to expand Medicaid eligibility in 2020.

Commentary

This commentary examines the relief funds in the CARES and PPP Acts intended to help providers prevent, prepare for, and respond to COVID-19.

Dataset

This guide compiles more than 100 resources tracking state and local data and policy responses to COVID-19 in health care, food, housing, and income supports.

Webinar & Presentations

This webinar presented results from a financial model examining the Medicaid fiscal implications of the interaction between the COVID-19 pandemic, the emerging economic downturn, and recent policy changes.

Commentary

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

Commentary

This commentary explains how, due to the loss of employer-sponsored insurance from the economic fallout of COVID-19, states may continue to see an increase in Medicaid enrollment.

Commentary

This commentary provides an overview of CMS relief guidance and flexibility to state hospitals, facilities, and providers on reporting measures for value-based purchasing and quality reporting programs.

Commentary

This commentary provides a survey of actions that state and local governments have taken to intentionally incorporate equity into their COVID-19 recovery and reopening policies. 

Report

This report uses new enrollment data to examine insurer type enrollment trends from 2016-2018.

Commentary, Report

06.2020 / By The RAND Corporation

This commentary gauges the potential effects on coverage and cost if public options become available in the country's health insurance exchanges, based on observations from a RAND COMPARE microsimulation model.

Commentary

This commentary provides state and local leaders with health equity principles that can serve as a compass to point leaders toward an equitable and lasting COVID-19 recovery. 

Commentary

This commentary assesses how the COVID-19 pandemic may accelerate a shift away from fee-for-service payments models in health care.

Report

This report documents access and affordability challenges facing uninsured new mothers using 2015–18 data from the National Health Interview Survey (NHIS). It also uses 2015–17 data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) to describe the health status of women who lost Medicaid coverage following their pregnancies.

Report

This report shows how the additional levels of unemployment insurance provided through the Federal Pandemic Unemployment Compensation program affects eligibility for subsidized coverage in expansion and nonexpansion states.

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 reviews potential information technology (IT) investments in responding to COVID-19 and strategies for states to support these investments to secure current and potential IT investments that enable ongoing Medicaid program operations and advance health information exchange.

Report

This report outlines potential IT investments in responding to COVID-19 and strategies for states to support these investments, and to secure current and future IT investments that enable ongoing Medicaid program operations and advance health information exchange.

Commentary

This commentary examines strategies that successfully drove enrollment in state-based marketplaces during the COVID-19 pandemic.

Commentary

This commentary identifies actions federal and state policymakers have taken to address the impact of COVID-19 on their managed care performance incentive programs.

Commentary

In this podcast episode, Ed O’Neil, PhD, MPA, a leadership development expert, speaks with Hilary Kennedy, program director for Medicaid leadership at the National Association of Medicaid Directors, about strategies Medicaid leaders can use to continue developing their staff at a distance.

Commentary

This commentary provides an overview of strategies that states can consider to help address gaps in coverage to ensure as many people as possible get access to comprehensive care as the country continues to respond and recover from the COVID-19 health and economic crisis.

Webinar & Presentations

This webinar discussed the models that have been published of where individuals are expected to gain Medicaid and Marketplace coverage over the next 18 months.

Commentary, Dataset

This commentary looks at which states are regularly reporting data that helps shed light on the health equity issues of the COVID-19 crisis.

Commentary

This commentary argues states can begin to foster a more equitable and just COVID-19 response, relief, and recovery effort by employing a few key guidelines. Asking a series of core questions and immediately responding with appropriate action can strengthen initial responses and lay the foundation for broader reforms to advance health equity.

Brief

This brief estimates that in the four weeks leading up to April 11, 2020, as many as 18.4 million individuals in the United States may be at risk of losing their employer-sponsored health insurance (ESI) coverage, including policyholders and their dependents.

Commentary, Dataset

This chart describes each governor’s stay-at-home order, penalties for noncompliance, and the dates when governors plan to reopen their economies and resume non-essential, medical, surgical, and dental procedures.

Commentary

States can use or revise this downloadable template to capture how much in federal coronavirus relief funds each hospital has received to date to guide states’ future CARES Act.

Graphic

This infographic highlights what states need to consider when providing pregnancy-related services to Medicaid enrollees through telehealth during the pandemic.

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.

Report

This report estimates how health insurance coverage could change as millions of workers lose their jobs because of the slowdown in economic activity resulting from public health efforts to reduce the spread of the coronavirus. 

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 toolkit provides an overview for states of various coverage pathways for individuals, including those who are uninsured, in need of COVID-19 testing and treatment.

Commentary

This expert perspective looks in depth at states that are regularly reporting COVID-19 health equity data.

Webinar & Presentations

In this webinar, experts from Manatt Health and Georgetown University’s Center on Health Insurance Reforms summarize recent federal legislation and guidance related to COVID-19.

Brief

This document provides examples of potential Medicaid messaging states can use during the COVID-19 pandemic.

Webinar & Presentations

In this webinar, experts review strategies states can use to manage and process an increased number of Medicaid applications, and the federal authorities that permit states to do so.

Report

This report uses new data from the Urban Institute’s Health Reform Monitoring Survey to examine the effects of the coronavirus outbreak on families’ employment and abilities to meet basic needs, as well as disparities in the economic impact of the pandemic.

Commentary

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

Commentary

This commentary discusses the huge rise in the number of people without health insurance in the wake of mass layoffs resulting from the COVID-19 pandemic and are seeking strategies to protect them from high prescription drug prices.

Commentary

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

Dataset

This chart details recent state actions affecting health insurance in response to COVID-19.

Commentary

This commentary discusses the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) and the potential eligibility challenges it creates for both individuals and states.

Commentary

This commentary discusses the states that 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.

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 discusses state employee health plans (SEHPs) and the rapid changes they are making to address the COVID-19 pandemic.

Commentary

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

Dataset

This chart details the amounts and required oversight of federal funds allocated to hospitals, providers, and states by three federal COVID-19 laws.

Commentary

This commentary discusses the need for states to be sound stewards of taxpayer dollars and why the need to do so now is particularly acute as states confront financial landscapes devastated by the pandemic.

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.

Brief

This Q&A responds to questions received regarding the April 9 Targeted Options for Increasing Medicaid Payments to Providers During COVID-19 Crisis Webinar and corresponding Toolkit.

Brief

This brief addresses how Medicaid Managed Care Organizations (MCOs) and states can individually and collectively play a role in responding to the COVID-19 pandemic.

Dataset

This data set tracks which states are reporting case and mortality data by race and ethnicity data on a state, zip code, or community level.

Report

In this report, researchers estimate the fiscal impacts of several approaches for increasing federal Medicaid matching rates, providing state-level estimates for each approach.

Report

This report estimates the extent to which workers in industries most vulnerable to pandemic-related unemployment and their family members would be eligible for Medicaid, the Children’s Health Insurance Program, or marketplace subsidies if workers lose their jobs.

Brief

This brief discusses the new established guidelines regarding placing COVID-19 related ads on social platforms.

Commentary

This commentary discusses the use of Telemedicine during the COVID-19 pandemic. It summarizes the federal legislation and guidance and discusses actions state departments of insurance can take to encourage greater access to telehealth services.

Webinar & Presentations

This webinar highlights funding opportunities and key provisions relevant to states included in the CARES Act. 

Commentary

This commentary discusses details of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) signed into law on March 27, 2020. It considers the policy implications and challenges for states, and discusses potential state measures to address these challenges.

Brief

This Q&A provides a moment-in-time update in response to questions about the federal government’s response to the COVID-19 pandemic.

Webinar & Presentations

This webinar discuses the impact of COVID-19 on Medicaid Managed Care Performance Incentives.

Commentary

This commentary looks in-depth at which states are regularly reporting data that helps shed light on the health equity issues of the COVID-19 crisis.

Report

This report assesses market trends in seven states—Colorado, Georgia, Iowa, Mississippi, New Hampshire, Texas, and Utah—through a review of insurer participation, premiums, and enrollment data and through structured interviews with health insurance brokers.

Commentary

This commentary examines state strategies for addressing barriers to telehealth for opioid use disorder during the COVID-19 pandemic.

Commentary

This commentary examines state strategies to promote health insurance enrollment to protect consumers from potentially exorbitant medical bills during the COVID-19 pandemic.

Commentary

This commentary highlights the promise and challenge of telehealth tools, including unconventional uses of telehealth technology, scalability of interventions, the effect of patient preferences on behavior adoption, and the effect of patient demographics on adoption. 

Commentary

This commentary examines how Connecticut became one of the first states to put guardrails in place to guide how hospitals will use federal relief funds from the CARES Act.

Commentary

Valerie and her husband Christopher wanted to adopt two sons from foster care, both with challenging health conditions, but were not sure if they could afford the medical bills. Valerie learned both children were automatically covered by South Dakota Medicaid because of their time in foster care.

Commentary

April was born with sickle cell anemia, a genetic blood disorder that is deeply painful and must be managed with proper medication. Medicaid covered April’s treatment and her electric wheelchair, which empowers her in her new everyday life.

Commentary

This commentary includes a list of the unique special enrollment periods (SEPs) available in state-based marketplaces, including life-changing events, unexpected health plan changes, or enrollment in dental coverage.

Commentary

This commentary includes some of the options available to states to ensure that individuals with complex medical conditions and their families have access to necessary home- and community-based services during the coronavirus (COVID-19) crisis through waiver and state plan amendment applications.

Commentary

This commentary includes examples of how states can address new needs, including housing, food, transportation, education, and employment, and how the CARES Act can support and amplify states' work to help stop the spread of COVID-19 and assist people with health-related social needs.

Commentary

This commentary discusses new federal and state laws that are making significant steps to eliminate consumer cost-sharing for coronavirus (COVID-19) testing, diagnosis, and prevention.

Commentary

This commentary discusses the Coronavirus Aid, Relief and Economic Security Act (CARES) and how policymakers can make informed decisions about how best to target these resources.

Commentary

This commentary features recommended communication strategies and examples for how states can elevate coverage options and help ensure that more residents can access health insurance during these uncertain times.

Commentary

This commentary reviews the key indicators currently being tracked by states via their COVID-19 dashboards and also provides an overview of “best practices” states can consider when developing or modifying these same COVID-19 dashboards.

Brief

This brief includes communication examples to help states answer questions on how health insurance covers COVID-related testing and treatment, encourage consumers to enroll in coverage, and engage with providers to keep them informed.

Report, Webinar & Presentations

This webinar walks through tools states can use to increase payments to providers through both fee-for-service and Medicaid managed care, despite COVID-19 driven changes to utilization. An accompanying toolkit is included that identifies the immediately available tools for states.

Report

This report assesses the cost of Medicaid relative to private insurance in the health insurance landscape under the Affordable Care Act (ACA).

Commentary

This commentary discusses how states are mobilizing to meet the crushing health care demands resulting from the COVID-19 pandemic.

Commentary

This commentary discusses what states are doing as coronavirus hospitalizations and ICU bed demand surge across the country.

Commentary, Dataset

This resource library provides key guidance, reference materials, and tools for states as they try to lessen the impact of COVID-19 on Medicaid populations.

Commentary

This commentary includes a list of state recommendations and restrictions on the dispensing chloroquine and hydoxychloroquine.

Commentary

This perspective discusses strategies state Medicaid and CHIP agencies can pursue as part of their emergency preparedness planning for, and response to, COVID-19.

Brief

This brief provides a template for states to inform residents of health insurance options during the COVID-19 pandemic.

Brief

This brief is a compilation of state marketplace communications examples during the novel coronavirus outbreak.

Brief

This brief is a compilation of communication examples from state departments and agencies during the COVID-19 pandemic.

Webinar & Presentations

In this webinar, experts explore the key health care provisions in the Families First Coronavirus Response Act and the implications for states.

Brief

This brief provides some answers about who is eligible to enroll in coverage as many seek new health coverage, or help paying for coverage, during the novel coronavirus outbreak.

Report

This Special Enrollment Period (SEP) Reference Chart is a tool for those who are helping people enroll in health coverage through a special enrollment period.

Brief

This brief examines the strategies being implemented by states to combat opioid use disorder in the midst of the COVID-19 pandemic.

Brief

This brief examines the Families First Coronavirus Response Act that was signed into law to provide resources to help states address the effects of COVID-19.

Brief

This Q&A examines what the Families First Coronavirus Response Act is doing to help states address the COVID-19 pandemic.

Brief

This brief gives an overview of the multiple actions states are taking toward ensuring accessible coronavirus (COVID-19) testing and cross-agency collaboration. 

Commentary

This commentary reviews key information for states about the recent federal medical assistance percentage (FMAP) increase and conditions states must meet to qualify for it.

Commentary

This commentary explains insurers' moves to extend coverage grace periods during the COVID-19 crisis.

Report

This report examines the kinds of health insurance unemployed workers have and how coverage patterns have shifted under the Affordable Care Act (ACA).

Commentary

The federal government has offered Medicaid waivers to give states flexibility to quickly increase their health care workforces in response to the COVID-19 pandemic.

Report

This resource provides a six-step framework for healthcare organizations to improve minority health and foster equity.

Report

This brief examines the effect of a recently announced federal program allowing states to apply for Medicaid block grants or per capita caps in exchange for new flexibility to limit enrollment and benefits.

Commentary

This blog posts pulls together frequently asked questions about the novel coronavirus to help guide Navigators, brokers, assisters, and consumers through this complex and trying time.

Dataset

The 2020 County Health Rankings highlight how health outcomes and health factors differ by place within states and illustrates how health differs among racial/ethnic groups within places.

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. 

Report

This report examines the Families First Coronavirus Response Act and its implications for Medicaid and the Children's Health Insurance Program (CHIP).

Commentary

This post presents two sample hospital reporting templates to help policymakers capture the information they need to critically evaluate the community benefit investments hospitals make in exchange for their tax exemptions.

Report

03.2020 / By Urban Institute

This report presents presents estimates of the number of occupied versus unoccupied beds at the national, state, and county levels, using data from the 2018 American Hospital Association Annual Survey.

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,

Commentary

This blog post discusses the challenges and risks associated with implementing cost-sharing requirements for COVID-19 testing and treatment, and the implications that these requirements may have in individuals delaying or avoiding care altogether.

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

In this report, researchers reviewed laws and interviewed state officials and insurers in six states—California, Georgia, Massachusetts, North Carolina, Pennsylvania, and Texas—to determine current policies and best practices to protect patients from disruptions in services and financial burdens as a result of disputes between providers and payers.

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.

Commentary

This podcast discusses the strategies and challenges faced while developing meaningful consumer engagement strategies for Colorado and Washington State Medicaid.

Report

This report assesses attitudes toward and concerns about the 2020 Census, drawing on data from the December 2019 Well-Being and Basic Needs Survey.

Commentary

Carolyn was working two jobs without health insurance when she fell in her home and cracked her hip. Unable to afford out-of-pocket expenses, Carolyn received disability coverage through Medicaid.

Commentary

Alecia was born with Down Syndrome, a lifelong condition that comes with physical and developmental challenges. Iowa’s Medicaid coverage empowers her to live independently.

Report

This report focuses on how Medicaid programs can use data from the American Community Survey (ACS), to inform and target interventions that seek to address social determinants of health and advance health equity.

Report

This report proposes a measurement model for trauma-informed primary care and suggest variables that could be assessed for each major intervention component.

Report

This paper summarizes emerging evidence in the field of how social determinants of health shape health outcomes and identifies key areas where more research is needed to advance implementation and policy development.

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

02.2020 / By Urban Institute

This report studies New Hampshire’s Medicaid work requirement program to understand how it was implemented and why it appears to fail to protect coverage and promote work.

Report, Webinar & Presentations

This report reviews the key features of the proposed capped funding demonstrations and highlights the considerations for states. On January 30, 2020, the Centers for Medicare & Medicaid Services (CMS) issued a State Medicaid Director Letter (SMDL) inviting states to apply for Section 1115 demonstration projects that would impose caps on federal Medicaid funding for the adult expansion and some other adult populations in exchange for new programmatic flexibility.

Commentary

In this podcast, three individuals from the Wisconsin Department of Health Services discuss how they have created an environment that values transparency and staff well-being.

Webinar & Presentations

This webinar explores how two health care innovators are engaging communities and using consumer feedback to rethink how services are designed and delivered.

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.

Report

This report gives an overview of the federal authorities under which states are able to cover nonclinical housing-related services for high-need Medicaid enrollees, and also details how states are using these authorities to invest in supportive housing for diverse high-need Medicaid populations.

Report

01.2020 / By Urban Institute

This report shows the changes in average lowest silver premiums from 2017 to 2020 by state and in the lowest silver premiums offered by each insurer in selected markets.

Dataset

This resource identifies areas where states are doing well and areas where they can improve on healthcare affordability.

Report

This guide is intended for health departments as they continue their journey to become equity-focused organizations, both in awareness and practice.

Report

12.2019 / By Urban Institute

This brief estimates charitable feeding use by demographic and socioeconomic characteristics and explores how use of charitable feeding intersects with other material hardship measures and safety net program participation

Graphic

This infographic highlights key considerations for health care systems on how to successfully convene and maintain a consumer advisory board (CAB).

Commentary

This commentary identifies key considerations to help guide health care systems in creating successful community advisory boards (CABs),

Report

This report identifies the states and people who would face the largest coverage losses if the Affordable Care Act were repealed, including estimates by city.

Commentary

In this podcast, Connecticut’s Medicaid director Kate McEvoy and chief financial officer Mike Gilbert discuss their experiences working with partners in the executive and legislative branches to build trust and a shared vision for sustaining critical programs.

Report

12.2019 / By Manatt Health

This report investigates the health care cost benchmarking programs adopted in Massachusetts and Oregon.

Report

12.2019 / By Urban Institute

This report examines preferences between a public option for health insurance and Medicare for All among nonelderly adults.

Commentary

This perspective outlines benefits and risks of health plan standardization, raises critical questions that states will need to consider, and offers a decision roadmap for states implementing a standardized benefit design requirement.

Brief

This blog from the Delta Center illustrates five key insights related to program design and evaluation from the productive partnership between the Partnership HealthPlan of California (PHC) and local community health centers (CHCs) to create a care coordination (CCM) program.

Report

This issue brief draws from the experiences of states that were among the first to implement their substance use disorder waivers to profile how the American Society for Addiction Medicine (ASAM) Criteria is used within the context of managed care and utilization review, and the challenges and best practices associated with its use.

Commentary

This piece investigates each of the non-ACA-compliant plan types and provides a brief description along with current estimates of enrollment or projected enrollment.

Commentary

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

Commentary

This interview with Veenu Aulakh, Center for Care Innovations president, touches on the organization’s approach to human-centered design and how they collaborate with patients, staff, and other stakeholders in successfully redesigning care while also telling a meaningful story to the community.

Report

This guide is a practical, hands-on resource to help assisters and consumers navigate this enrollment season.

Report

This brief provides an annual update to comparisons of uninsurance estimates from four federal surveys.

Report

10.2019 / By Urban Institute

This report analyzes commercial insurers’ experiences competing in marketplaces with managed care organizations, which only offered coverage within public programs prior to ACA implementation.

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

These two reports provide national and state-level trends in suicide deaths from 2000 to 2017.

Commentary

Paul needed a kidney transplant to save his life, and couldn't have afforded the costs without Medicaid.

Commentary

When Stacia needed treatment for substance use and mental health, Medicaid covered her care.

Report

This report investigates what is motivating states to transition to full state-based marketplace status, assesses the benefits and risks of such a switch, and identifies considerations for other states considering a similar move.

Commentary

When Sheila's daughter was born with birth defects, Sheila couldn't afford her care. Then she found Medicaid.

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.

Report

09.2019 / By Urban Institute

This report explores what child care challenges parents with Medicaid work requirements may face, and suggests parents may struggle to find care that is affordable, good quality, accessible, and available for nontraditional or unpredictable work schedules.

Report

09.2019 / By Urban Institute

This brief explores state variation in health insurance coverage changes during implementation of the primary health insurance coverage reforms of the Affordable Care Act (ACA) using data from the 2013 and 2017 American Community Survey. 

Report

09.2019 / By Urban Institute

This brief describes interviews with 10 Medicare Advantage plans, Medicare Advantage experts, and social service providers to discuss new benefits added under the Centers for Medicare & Medicaid Services' increased flexibility in plan year 2019.

Report

This report provides an overview of the behavioral health system’s engagement in Medicaid value-based payment (VBP) models and provides policy recommendations to support VBP adoption.

Commentary

09.2019 / By That's Medicaid

When Jennifer and Jerry welcomed their daughter into the family, Medicaid gave her a healthy start.

Commentary

09.2019 / By That's Medicaid

When Hannah and Martin's son was born, he needed immediate open-heart surgery. Medicaid covered their son’s birth, surgery, and follow-up care.

Report

09.2019 / By Urban Institute

This report updates previous analysis of the coverage and health spending implications of Healthy America and analyzes two additional options: one without an individual requirement and one that would lead to universal coverage for all legal residents of the US.

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

This literature review provides an overview of the scholarly work on the drivers of health.

Commentary

09.2019 / By That's Medicaid

Soon after Gail was diagnosed with breast cancer, she lost her job and her health insurance. Medicaid was a lifeline.

Commentary

This blog outlines how states like Oregon and Connecticut go beyond federal requirements to ensure that hospital community benefit spending is substantial, meets community needs, and addresses state goals in exchange for tax exemptions.

Commentary

08.2019 / By That's Medicaid

To stay alive, Bridget must receive dialysis for four hours a day, three times each week. Medicaid is an essential part of her health care coverage, and helps her to lead a normal life.

Report

This report examines implementation considerations for fiscal mapping from sites in Maryland and Minnesota to help inform similar mapping activities in additional states and communities.

Commentary

08.2019 / By That's Medicaid

LaVerne was covered by Medicaid while she earned her bachelor's degree in nursing, opening the door for her service in the U.S. Army Nurse Corps.

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

08.2019 / By Urban Institute

This report assesses public support for Medicare for All proposals, as well as some incremental reforms for expanding health insurance coverage, using data from the March 2019 round of the Health Reform Monitoring Survey.

Commentary

08.2019 / By That's Medicaid

Laura's high-risk pregnancy, and a car accident that left her husband Jed permanently disabled, threw her family's life off course. Learn how Medicaid helped Laura and Jed get it back on track.

Report

This report describes preliminary observations regarding implementation of Medicaid housing support demonstrations in California, Maryland, and Washington.

Commentary

08.2019 / By That's Medicaid

When Shari's disease worsened, she knew she needed more assistance. Learn how Medicaid helped her maintain her independence, so she could help others in need.

Commentary

07.2019 / By That's Medicaid

Tom was a successful insurance agent with a college degree and a six-figure salary, when personal tragedy sent him spiraling. Learn how Medicaid helped him get back on his feet.

Report

07.2019 / By Urban Institute

This report examines a potential reform to Medicare that would simplify coverage for fee-for-service beneficiaries; streamline cost-sharing obligations for Medicare Parts A, B, and D; and create an out-of-pocket maximum.

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.

Commentary

This analysis highlights the disparities between characteristics of populations most affected by housing affordability issues.

Commentary

This commentary outlines ways in which Congress can look to actions by state-level policymakers for guidance on how to achieve legislative compromise on balance billing.

Webinar & Presentations

07.2019 / By Vox

This short video explains what Medicaid expansion is.

Webinar & Presentations

07.2019 / By Vox

This short video explains the difference between Medicaid and Medicare.

Webinar & Presentations

07.2019 / By Vox

This short video explains how Medicaid has expanded its coverage to cover roughly 1 in 5 Americans.

Webinar & Presentations

07.2019 / By Vox

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

Commentary

These tip sheets provide general guidance to help state agency leadership develop and refine the necessary skills and expertise to successfully lead their state programs.

Brief

These resources describe the core roles of state Medicaid and public health agency staff when partnering to implement evidence-based prevention interventions.

Brief

06.2019 / By Urban Institute

This analysis examines how people with different characteristics would be affected if the Texas v. United States decision invalidates the Affordable Care Act.

This blog reflects on the value of Medicaid and the critical role of Medicaid directors since the program's inception more than 50 years ago.

Brief

06.2019 /

In this blog, two former state medicaid directors demystify the distinct yet complementary roles of public health and health care — and how these state agencies can align efforts around prevention strategies to impact health and costs.

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

This interview features two physicians who participated in planning New Jersey’s statewide office-based addiction treatment program and their experiences treating addiction within primary and specialty care settings.

Commentary

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

Report

This issue brief provides examples from a handful of states that have begun the work of identifying, evaluating, and reducing health disparities within their Medicaid managed care programs.

Webinar & Presentations

This webinar highlights how two providers operating in vastly different settings have incorporated a trauma-informed approach to care into their day-to-day practices for treating substance use disorder.

Report

06.2019 / By Urban Institute

This study assesses potential barriers facing Medicaid enrollees in meeting work requirements through employment on a sustained basis, using pooled data from the September 2018 and March 2019 Health Reform Monitoring Survey.

Dataset

06.2019 / By Altarum

This resource calculates the cost of lead exposure in states, and computes the economic benefits of specific policies and programs, from replacing lead drinking water service lines to eradicating lead paint hazards in older homes.

Commentary

A new podcast series, Medicaid Leadership Exchange, is launching to help Medicaid directors and their senior management teams steer the course.

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

05.2019 / By Urban Institute

This report examines changes in material hardship between 2017 and 2018 and finds that, despite a strong labor market, there was only modest progress in families’ ability to meet basic needs.

Report

In this report, insurance experts share findings from a case assessing New York’s experience with its Surprise Billing law, five years in.

Report

05.2019 / By Urban Institute

This report assesses trends in self-reported measures of general health, mental health, activity limitations, and obesity by educational attainment from 1997-2017.

Brief

America’s day-to-day readiness to manage health emergencies has improved significantly over the past six years according to a nationwide index of health security.

Report

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

Report

This report evaluates common methods for better using categorical income measures, such as the one in the BRFSS, to calculate income as a percent of the federal poverty guidelines. 

Report

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

Brief

This table highlights new programs and federal initiatives to combat the opioid crisis.

Report

This report examines ACA marketplace participation by insurers that participated in Medicaid but not in private insurance markets prior to the ACA.

Webinar & Presentations

The webinar highlights six key questions that state policymakers need to consider when choosing a buy-in model, designing its features, and introducing a Medicaid buy-in program.

Commentary

State policymakers have more flexibility than ever to advance health-promoting policies and programs, and showcase effective strategies from which other states—and the nation as a whole—might learn. RWJF helps inform these efforts through research and analysis, technical assistance and training, and advocacy.

Brief

The issue brief identifies the key questions for states pursuing Medicaid buy-in programs to consider as they seek to design and implement their proposals.

Graphic

This infographic shows 10 states’ guidelines for involving community members in the community health needs assessment process, as well as their enforcement levers.

Brief

States can work to make sure hospitals truly seek out and act on meaningful input from a wide range of community representatives — not just community members on a hospital’s board or leaders from high-profile community groups.

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 issue brief explores the “next generation” practices that states are deploying to address social factors using Medicaid 1115 waivers and managed care contracts.

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.

Commentary

In this interview, Carole Johnson, Commissioner of New Jersey’s Department of Human Services discusses how she is advancing the state's strategies to combat the opioid epidemic.

Report

04.2019 / By Urban Institute

This report explores the effects of Kentucky’s reinstatement of work-related time limits on the SNAP participation of able-bodied adults without dependents between January 2017 and September 2018.

Brief, Graphic

Several states are developing accountable health models to improve health and control costs by addressing health-related community needs, such as transportation, recreation, and housing. This brief examines their organizational and governance structures.

Report

Six case studies examine lessons from PHNCI Innovation Learning Community grantees, who spent eighteen months implementing public health innovations in their communities.

Report

04.2019 / By Urban Institute

This analysis examines some of the consequences should a case pending before the U.S. Court of Appeals for the Fifth Circuit be decided in favor of the plaintiffs, who argue that the entire Affordable Care Act (ACA) be eliminated.

Brief

04.2019 / By Urban Institute

This brief found that ACA markets have become more competitive between 2018 and 2019, but have not regained the level of competition they had in 2017.

Brief

This issue brief looks at progress made in using multi-payer claims databases for various strategic purposes, and offers considerations for states seeking to optimize claims databases to improve health care system performance improvement.

Journal Article

This article estimates the costs of implementing state-based reinsurance programs in four large states whose size provides a useful cost-projection base for other state policymakers considering reinsurance programs.

Webinar & Presentations

This webinar explored how several states are using their multi-payer claims databases, including how they are employing claims databases to enhance the value of care and lessons learned for others.

Commentary

This commentary explores a series of case studies and tools developed after a national scan of promising HC/CBO partnerships that examine the operational, financial, and strategic components of successful partnerships.

Report

The annual County Health Rankings measure vital health factors, including high school graduation rates, obesity, smoking, unemployment, access to healthy foods, the quality of air and water, income inequality, and teen births in nearly every county in America.

Report

03.2019 / By Manatt Health

This report examines monitoring and evaluation of work/CE demonstrations and reviews the data assets and infrastructure necessary to support states and their researcher partners in robust monitoring and evaluation efforts.

Dataset

This tool includes more than 700 measures and the most up-to-date version of 19 federal and other national measure sets and six state measure sets.

Dataset

This database includes non-HEDIS and modified HEDIS measures in use by state purchasers and regional health improvement collaboratives and associated performance levels.

Commentary

In this interview with Louisiana's Medicaid Director Jen Steele, she shares her approach to leveraging Medicaid’s role to improve health outcomes and health equity.

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.

Report

This report highlights 13 evidence-based policies to improve the health and well-being of state residents.

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.

Commentary

This commentary provides a brief background on the recent litigation surrounding cost sharing reductions, including executive actions, and state and insurer responses, as well as what could happen next.

Brief

This brief reviews considerations for policymakers assessing their state Medicaid managed care programs and exploring strategies for advancing cost, quality, and accountability goals.

Brief

This brief reviews a number of Medicaid strategies states are implementing to prevent and treat substance use disorder and support long-term recovery.

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 outlines the basics of the Medicaid program, including financing and eligibility, for new state policymakers in order to lay the groundwork for considering the challenges and opportunities that lie ahead. 

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.

Commentary, Dataset

The percentage of the U.S. population that made changes to drugs due to cost has been relatively stable over time at the national level, but there are substantial differences by state and significant disparities exist between age groups and types of insurance coverage.

Brief

This brief explores opportunities to better address patients’ non-medical needs, including: identifying non-medical needs; employing non-traditional workers; partnering with community-based organizations/agencies; testing new technologies; and identifying funding.

Report

This analysis examines the use of 1332 State Innovations Waivers to stabilize individual health insurance markets, comparing the use of this strategy in three states; assessing how they navigated the process; identifying lessons learned; and discussing future concerns.

Report

02.2019 / By Urban Institute

This report finds between 2006 and 2017, growth in spending per enrollee in Medicare and Medicaid was much slower than in private insurance.

Dataset

02.2019 / By LawAtlas

This tool facilitates use of policy surveillance and legal mapping for improving the nation’s health.

Dataset

This dataset contains local, state and national data that can identify problems and help determine best practices for health and public health programs and policies that promote optimal health.

Dataset, Report

02.2019 / By Health Impact Project

This project encourages state, local, and national level organizations to include health considerations in policy decisions across multiple sectors, such as housing, transportation, and education. Research shows that the conditions in which people live, learn, work, and play influence their health, so the project also works to create cross-sector partnerships that include the expertise of health care and public health systems.

Dataset

02.2019 / By National Equity Atlas

The National Equity Atlas is a comprehensive data resource to track, measure, and make the case for inclusive growth. It includes data on changing demographics, racial inclusion, and the economic benefits of equity—at city, region, state, and nationwide levels.

Dataset

This tool helps identify policies and programs that are a good fit for community priorities. Analysts review and assess research to rate the effectiveness of a broad variety of strategies (i.e., policies, programs, systems & environmental changes) that can affect health through changes to: health behaviors, clinical care, social and economic factors, and the physical environment.

Graphic

These infographics show how each state's overdose rates compare to the national average, provide a high-level comparison of all 50 states' overdose death rates broken down by each of the five drug types, and highlight key findings for trends in drug overdose deaths from 2000-2017,

Webinar & Presentations

This webinar by SHADAC researchers examines new measures and highlights how the estimates can be used to explore disparities between states and among sub-populations.

Report

The brief provides a roadmap of policy, program design, and financing considerations for states that are contemplating development of a state-based reinsurance program under 1332 waiver authority.

Webinar & Presentations

This webinar examines the complexities of state Medicaid oversight of the pharmacy benefit in the managed care environment.

Report

This guide provides health departments with the key components to consider before planning the FPHS implementation process.

Webinar & Presentations

This webinar walked through key components of the proposed annual Notice of Benefit and Payment Parameters for 2020, and discussed potential state considerations for states.

Report

02.2019 / By Urban Institute

This study assesses short-term plan insurers’ marketing tactics in the wake of new federal rules and how regulators have prepared for this new market.

Dataset, Report

This report examines the country’s level of public health emergency preparedness on a state-by-state basis using 10 priority indicators.

Report

01.2019 / By Urban Insitute

The Urban Institute conducted interviews with marketplace administrators and insurers selling marketplace coverage in ten states. They analyze marketplace insurer participation and pricing decisions, as well as several related topics.

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

MACPAC's 2018 Medicaid and CHIP Data Book is a collection of federal and state statistics regarding the Medicaid and CHIP programs.

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.

Brief

Adult Unhealthy Days is a new measure that provides state-level estimates of the average number of days in the past 30 days that an adult’s mental or physical health was not good.

Report

This report presents a set of policy options for how Project ECHO, a telehealth mentoring program, could be paid for through federal and state funding mechanisms.

Webinar & Presentations

This webinar discusses state considerations for developing a Medicaid buy-in proposal, as well as evolving models.

Graphic

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

Report

12.2018 / By Urban Institute

This analysis examine four policy scenarios meant to improve the ACA, which, taken together, could reduce the number of uninsured by 12.2 million people and to 7.3 percent uninsured.

Commentary

New provisional CDC data suggests opioid-related overdose deaths in the U.S. may be slowing, leveling out or dropping slightly. The opioid crisis varies across states, requiring state-level data to effectively respond.

Brief

This case study explores how Indiana’s Family and Social Services Administration is working to rethink how to optimize the integration and delivery of health and social services for Medicaid beneficiaries.

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.

Webinar & Presentations

This webinar discusses the implications of the proposed regulations easing the rules governing health reimbursement arrangements (HRA) and other account-based, tax-preferred health care benefits; and possible state responses.

Report

Alaska, Minnesota and Oregon were the first to gain approval and federal funding to implement their own reinsurance programs under a 1332 waiver. This issue brief assesses their progress and lessons learned to date.

Brief

New health insurance coverage estimates for Q1-Q2 2018 from the National Health Interview Survey find nationwide, 12.5% of nonelderly adults were uninsured in the first half of 2018.

Graphic

Data from the 2017 American Community Survey (ACS) show that many of the remaining uninsured are clustered in metropolitan areas; this map illustrates those geographic concentrations of the uninsured.

Commentary

This national scan summarizes the health care reforms and innovations that newly-elected governors promoted in their campaigns and may become policy in 2019.

Webinar & Presentations

The Senate passed H.R. 6, The Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (the “SUPPORT Act”) on October 3, 2018. This reviews major health provisions of the new law and implications for states.

Report

This report highlights three states – Ohio, Oregon, and Washington – work using data, expertise, and evidence to modernize their public health systems.

Brief

11.2018 / By Urban Institute

This monitoring and tracking project will document changes to the implementation of national health reform to help states, researchers and policymakers learn from the process as it unfolds.

Report

11.2018 / By Urban Institute

Using data from the American Community Survey and the Current Population Survey, this report assesses whether coverage gains from 2010 to 2016 were associated with changes in labor market outcomes across occupations.

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

This State Health Policy Highlight profiles three State Health and Value Strategies issue briefs that provide states with practical approaches to improve individual and population health and create joint accountability across health care and other sectors.

Brief

This State Health Policy Highlight profiles two issue briefs and a webinar on how state Medicaid programs can address social determinants of health.

Report

The brief provides a roadmap of policy, program design, and financing considerations for states that are contemplating development of a state-based reinsurance program under 1332 waiver authority.

Report

10.2018 / By Urban Institute

This report explores changes in coverage type between 2013 and 2016 overall and for key demographic and income subgroups. Between 2013 and 2016, the share of Americans ages 64 and younger without health insurance fell from 17 percent to 10 percent.

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.

Brief

These tables of state and county uninsurance estimates for 2017 and comparison year 2016 come from the 2017 American Community Survey via the U.S. Census Bureau's American FactFinder tool.

Graphic

New health insurance coverage estimates from the American Community Survey show that there was a statistically significant 0.2 percentage point increase in the national uninsured rate between 2016 and 2017, for the first year since 2010. This graphic analyzes the data.

Brief

The Minnesota State Employee Group Insurance Program has covered Minnesota state employees and their dependents using a tiered provider model since 2002. A recent SHARE-funded analysis examined the tiering model as well as patient and clinic responses to this tiered provider network approach.

Brief

Recognizing an unmet need for toiletries and household products among clients, AccessHealth Spartanburg stocks a closet where eligible clients can “shop” for items. This builds trusting relationships between clients and staff and meets basic client needs.

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.

Dataset, Report

This report highlights the latest obesity trends as well as strategies, policies, programs, and practices that can reverse the epidemic. The report also details the level of commitment necessary to effectively fight obesity on a large scale and includes key recommendations for specific actions.

Report

09.2018 / By Urban Institute

The Well-Being and Basic Needs Survey (WBNS) monitors changes in health and well-being at a time when policymakers seek significant changes to programs that help low-income families pay for basic needs. Most indicators based on data from the WBNS are reasonably consistent with measures from larger federal surveys.

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

09.2018 / By Urban Institute

This report provides detailed estimates of changes in health insurance coverage types between 2013 and 2016 by demographic, socioeconomic, and geographic characteristics. In addition, state fact sheets detail coverage changes by income group in all 50 states and DC.

Graphic

This chart compares the social determinants 11 states targeted in their Medicaid contracts and contract guidance documents to enhance population health, as well as how states monitored outcomes and funded these efforts.

Report

CMS approved state work/community engagement (CE) waivers in Arkansas, Indiana, Kentucky, and New Hampshire; and additional states have submitted or are poised to submit similar waivers. This series of charts outlines the legal, policy, financial and operational tasks and issues that states will face in adding a work/CE condition to their Medicaid program.

Webinar & Presentations

This webinar is first in a two-part series exploring how providers are building on existing complex care program models to extend beyond the walls of a health system.

Report

08.2018 / By Urban Institute

The Trump administration finalized regulations for short-term limited duration policies in early August 2018, which increase the maximum length of short-term, limited-duration insurance policies to just less than one year. This report provides updated tables taking these state legislative changes into account.

Report

08.2018 / By Urban Institute

This report examines brokers’ evolving role in the individual market, consumer purchasing decisions, and brokers’ observations about how the market and consumers are responding to recent federal policy adjustments to the ACA.

Report

08.2018 / By Urban Institute

This report investigates the work patterns of Medicaid beneficiaries in Kentucky who are are potentially subject to Medicaid work requirements. It finds that the structure of Kentucky’s Medicaid waiver does not seem to align with the reality of some working enrollees’ lives, and that working enrollees losing coverage may not have access to an employer plan.