Top Five 2015 Health Issues: A Further Examination

A flurry of state governors - in the 24 states that have not yet expanded Medicaid - are talking about expanding Medicaid eligibility as allowed under the Affordable Care Act. Many of these governors are offering up solutions that they say are designed uniquely for their state, carefully differentiating the new proposals from “traditional” Medicaid. This activity is likely to continue throughout 2015. Outside ACA issues, states will consider a number of health delivery issues. These include how to match the workforce to the need for professionals and how to expand some service areas such as mental health and substance abuse.

CSG Director of Health Policy Debra Miller outlines the top five issues in health policy for 2015, including Medicaid expansion, growing the health workforce, integrating health and human services, long-term care, and mental health and substance abuse. 

Today’s blog isn’t just about policy. It is also about taking care of your own health affairs and those of your loved ones.  

While most all Americans think it’s a good idea to talk with their loved ones about end-of-life care, less than 30% have actually done it according to the American Bar Association.

To help solve that problem, the ABA has a new free smartphone app available – My Health...

This week I was privileged to join with 40 experts in the field of elder justice gathered in Washington, D.C. to put the finishing touches on a national road map to guide programs and services to address elder justice issues – preventing elder abuse, providing services for victims of elder abuse in all its forms, and building systems for prosecution of abuse, sexual assault and financial exploitation.  CSG was invited to the meeting to bring the perspective of state level policy makers to the...

Health care spending is 18 percent of the national economy so it is no wonder that big health issues face the states in 2014. The all-consuming question for states is how to contain costs. The Affordable Care Act kicks in full force in 2014 and states that haven't already decided to expand Medicaid eligibility may take up the question. The health marketplaces, while slow to start in October, were making more headway as 2014 began. Nearly 4 million (3.9) individuals had been deemed Medicaid or CHIP eligible and another 2.1 million selected private health insurance policies through the federal or state marketplaces by the end of December 2013. States will look at systems and delivery methods, including mental health, aging and professional scope of practice issues. 

Center for Disease Control and Prevention has released the government’s first state-by-state look at how long 65 year-old Americans can expect to live and how many of those remaining years will be healthy ones.

On June 20-22, 45 CSG members gathered in Washington, D.C. for the second annual Medicaid Policy Academy to learn more about Medicaid and how states can improve health outcomes for enrollees and, at the same time, run a more cost efficient program. Attendees had been nominated for attendance by health committee chairs in their home states as "rising stars" who were either new to positions of leadership on Medicaid policy or were likely to soon assume these positions.

Family caregivers are the backbone of our nation’s system of long-term services and supports for older adults and people with disabilities. The economic value of their contributions is estimated at $450 billion per year. It is critical that states support the efforts of these caregivers, to help them avoid burn out and protect their own health.
 

As America’s baby boomers continue to age, the justice system is having to change to meet the needs of a very different kind of prisoner. “We are in fact moving toward a geriatric justice system, whether we want to formally call it that or not,” said Ronald Aday, a professor of sociology and anthropology at Tennessee State University who studies gerontology and prisons. He was one of the featured speakers for a recent CSG South webinar “Aging Inmates: The Continual ‘Graying’ of America’s Prisons.”

A high-performing system of long-term care services and supports must address four critical dimensions: affordability/access; choice of setting/provider; quality of life and care; and support for family caregivers. A recent scorecard assessed the states on 25 indicators within these dimensions and found marked differences in performance. States can use these findings to target system improvements.

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