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Doctors & Nurses photoCultural Competency Health Care Workforce

This webinar held on Friday May 24,will review best practices for improving cultural competency among a state’s health care workforce. More

American Health Benefit Exchanges

View NCSL comment letters on proposed Federal Rules governing multi-state plans, and standards related to the Essential Health Benefits and more. More

Health Reform:  State Actions Newsletter

This newsletter highlights federal health reform actions in the states. View the most recent newsletter and all 55 archive editions. More

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![Cost Brief] Health Cost Containment and Efficiencies: Issue Briefs and articlesArticles/Briefs/ Newsletters5/8/2013 12:00:00 AM/default.aspx?tabid=1920019200Containing Health Costs and Improving Efficiency: An Analysis of State Options -- 16 briefs from an NCSL Health Project.
State Actions Related to Transparency and Disclosure of Health and Hospital ChargesReports5/8/2013 12:00:00 AM/default.aspx?tabid=1451214512This report describes state and regional efforts to achieve transparency and disclosure of health costs and health quality measures.
Health Finance Issues, 2013 editionReports4/20/2013 12:00:00 AM/default.aspx?tabid=1450114501This report provides background and multiple resources on the $2.8 trillion world of US health finance.
Massachusetts Health Initiatives: 20 Years of ChangeReports4/15/2013 12:00:00 AM/default.aspx?tabid=1454314543Read about the Massachusetts Health Initiatives: health reform and cost containment across 20 Years of Change
Hospitals and State LegislaturesReports4/1/2013 12:00:00 AM/default.aspx?tabid=1436814368An overview of facts and resources about hospitals - which CMS projected that 30.8% of all national health expenditures in the U.S. go to hospitals
HSAs- Health Savings Accounts and the StatesBill Summaries/ Databases4/1/2013 12:00:00 AM/default.aspx?tabid=1446214462Health Savings Accounts (HSAs) and High-Deductible Health Plans (HDHPs) have spread in the past eight years, with new laws and evolving practices in virtually all 50 states.
[Cost Brief] All-Payer Claims Database- Health Cost ContainmentReports3/31/2013 12:00:00 AM/default.aspx?tabid=1992919929All-Payer Claims Database (APCD) as tool to control healthcare costs through healthcare data collection.
Health Costs: Recent News and ReportsReports3/22/2013 12:00:00 AM/default.aspx?tabid=2126621266Health Costs: Recent News and Reports, with latest news updated March 2013
[Cost Brief] Global Payments to Health Providers- Health Cost ContainmentReports3/1/2013 12:00:00 AM/default.aspx?tabid=1993119931Global Payments to Health Providers
CON-Certificate of Need State LawsReports3/1/2013 12:00:00 AM/default.aspx?tabid=1437314373Certificate of Need (C.O.N.) programs are aimed at restraining health care facility costs and allowing coordinated planning of new services and construction. Laws authorizing such programs are one mechanism by which state governments seek to reduce overall health and medical costs.
Medicaid Program Integrity: Fighting Fraud, Waste and AbuseArticles/Briefs/ Newsletters2/18/2013 12:00:00 AM/default.aspx?tabid=2585625856Fraud, waste and abuse in the Medicaid program divert taxpayer dollars that otherwise would be spent on legitimate health care. In order to ensure proper expenditure of public funds, states are at the forefront of preventing, detecting and deterring improper practices and payments.
[Cost Brief] Accountable Care Organizations- Health Cost ContainmentReports2/15/2013 12:00:00 AM/default.aspx?tabid=1992719927Accountable Care Organizations (ACOs)- Health Cost Containment brief and resource list, updated for 2013.
Marketing and Advertising of PharmaceuticalsBill Summaries/ Databases2/1/2013 12:00:00 AM/default.aspx?tabid=1446114461This report describes state laws and actions to restrict or require disclosures of drug marketing over the past decade.
State Employee Health Benefits, NCSLReports1/31/2013 12:00:00 AM/default.aspx?tabid=1434514345A compendium of facts and resources on the states' employee health benefit plans.
Health Insurance PremiumsReports1/31/2013 12:00:00 AM/default.aspx?tabid=1451414514Examine actual health insurance premiums - national and states, 2004 to 2011 with links to best primary sources.
Bulk Purchasing of Prescription Drug - NCSL 2012Reports1/2/2013 12:00:00 AM/default.aspx?tabid=1446414464This report describes state-based prescription drug bulk purchasing laws and programs in 30+ states. Most operational programs focus on Medicaid purchases. Two states have opened programs to the general public. Other initiatives use inter-state cooperation for evidence-based evaluation of drug products.
Medicaid Payment ReformArticles/Briefs/ Newsletters12/10/2012 12:00:00 AM/default.aspx?tabid=2542025420Medicaid Payment Reform
[Cost Brief] Medical Homes - Health Cost Containment Reports11/21/2012 12:00:00 AM/default.aspx?tabid=1993619936Medical Homes - Health Cost Containment
[Cost Brief] Health Cost Containment: State Initiatives & Federal Health ReformReports11/1/2012 12:00:00 AM/default.aspx?tabid=1993719937State Health Cost Containment and Health Reforms in PPACA.
[Cost Brief] Prescription Drugs Overview, Generics, Brands & Purchasing Agreements- Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1993419934Prescription Drugs Overview; Use of Generics and Brand Name Discounts; Prescription Drug Agreements and Volume Purchasing
[Cost Brief] Health Care Provider Patient Safety- Health Cost ContainmentArticles/Briefs/ Newsletters11/1/2012 12:00:00 AM/default.aspx?tabid=1994019940Health Care Provider Patient Safety- Health Cost Containment
[Cost Brief] Medical Malpractice Reform- Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1994119941Medical Malpractice Reform- Health Cost Containment
[Cost Brief] Administrative Simplification- Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1992619926Administrative Simplification in the Health System - Health Cost Containment
[Cost Brief] Episode-of-Care Payments - Health Cost ContainmentReports11/1/2012 12:00:00 AM/default.aspx?tabid=1993019930Episode-of-Care and "Bundled" Payments for Health Cost Containment
The Medical Home Model of CareReports9/13/2012 12:00:00 AM/default.aspx?tabid=1772317723The Medical Home Model of Care
Health Insurance Rate Approval / Disapproval (State Implementation Report)Bill Summaries/ Databases9/12/2012 12:00:00 AM/default.aspx?tabid=1978719787Health Insurance State Rate Approval and Disapproval, including 50-state laws, bills and new federal HHS-approved rate procedures, updated fall 2011.
Health Costs: Improving the Bottom Line Articles/Briefs/ Newsletters8/22/2012 12:00:00 AM/default.aspx?tabid=1994319943Health Costs - resources for State Legislatures articles June-July-August 2012
[Cost Brief] Combating Health Care Fraud and Abuse - Health Cost ContainmentReports8/8/2012 12:00:00 AM/default.aspx?tabid=1993519935Combating Health Care Fraud and Abuse - Health Cost Containment
Great Ideas for Cutting Costs in HealthArticles/Briefs/ Newsletters7/16/2012 12:00:00 AM/default.aspx?tabid=2499124991Six more strategies to manage the rising costs of health care.
Health: Improving the Bottom Line - State Legislatures MagazineArticles/Briefs/ Newsletters6/1/2012 12:00:00 AM/default.aspx?tabid=2476224762Lawmakers, businesses and health care providers are trying an array of approaches to curb the long-term costs of health care.
Medicaid Fraud and AbuseReports5/1/2012 12:00:00 AM/default.aspx?tabid=2382723827Overview of fraud and abuse in Medicaid.
[Cost Brief] Public Health and Cost Savings - Health Cost ContainmentReports11/18/2011 12:00:00 AM/default.aspx?tabid=1993919939Public Health, Prevention Programs and Cost Savings - Cost Containment Series
[Cost Brief] Employer-Sponsored Health Promotion Programs- Health Cost ContainmentReports11/17/2011 12:00:00 AM/default.aspx?tabid=1993819938Employer-Sponsored Health Promotion Programs, including Worksite Wellness, Brief 13 in the Cost Containment series.
Evidence-Based CareMultimedia10/7/2011 12:00:00 AM/default.aspx?tabid=2366423664Evidence-Based Care
Value-Based Insurance DesignReports9/2/2011 12:00:00 AM/default.aspx?tabid=2176521765Overview of Value-Based Insurance Design
Diverting Costly Emergency Room Visits to Health CentersArticles/Briefs/ Newsletters8/31/2011 12:00:00 AM/default.aspx?tabid=2353923539Nonemergency visits to emergency rooms by uninsured patients can cost as much as seven times more than a visit to a health center.
[2011 Legislative Summit] States Opting Out: Health Reform Challenges, Waivers and AlternativesMultimedia8/10/2011 12:00:00 AM/default.aspx?tabid=2358123581States Opting Out: Health Reform Challenges, Waivers and Alternatives
[Summit 11] Evidence-Based Care: Better Bang for the Buck?Multimedia8/9/2011 12:00:00 AM/default.aspx?tabid=2340023400Evidence-Based Care: Better Bang for the Buck?
Mandated Health Insurance Benefits and State Laws: OverviewReports7/20/2011 12:00:00 AM/default.aspx?tabid=1446314463For more than two decades, Legislators regularly debate whether mandates ensure adequate protection for their constituents or further simply increase their health care costs. Here are some links that provide background, information and examples of legislation regarding mandated coverage
Cafeteria plans used by states to provide health insuranceReports5/13/2011 12:00:00 AM/default.aspx?tabid=1451514515In the past five years, several states are experimenting with a new use for an old idea, aimed at lowering costs for both employees and their employers. Section 125 cafeteria plans were designed as an optional feature for employers; cafeteria plans allow employees to pay for a variety of health care expenses without paying any federal tax on those charges. The result can be a savings of between 25% and 40% of every dollar the employee contributes to his or her plan.
[Cost Brief] Performance-Based Health Care Provider Payments- Health Cost ContainmentArticles/Briefs/ Newsletters1/31/2011 12:00:00 AM/default.aspx?tabid=1993319933Performance-Based Health Care Provider Payments- Health Cost Containment
Managed Care and the StatesReports1/6/2011 12:00:00 AM/default.aspx?tabid=1447014470Managed Care, both HMOs and PPOs remains the most widespread kind of health insurance in the U.S. State laws and concern about costs make this a major topic for policymakers.
[Fall Forum 2010] Health Costs: New Payment Reform ApproachesMultimedia12/8/2010 12:00:00 AM/default.aspx?tabid=2184821848Health Costs: New Payment Reform Approaches
[Cost Brief] Equalizing Health Provider Rates: All-Payer Rate Setting- Health Cost ContainmentReports11/9/2010 12:00:00 AM/default.aspx?tabid=1992819928Equalizing Health Provider Rates: All-Payer Rate Setting- Cost Containment
[LegisBrief] Health Costs: A New Look at Payment Health Reform OptionsArticles/Briefs/ Newsletters10/12/2010 12:00:00 AM/default.aspx?tabid=2144221442States and the federal government are working to contain the increasing costs of health services. Some health payment reforms may improve efficiency
[Cost Brief] Pooling Public Employee Health Care- Health Cost ContainmentReports9/2/2010 12:00:00 AM/default.aspx?tabid=1993219932Efforts to combine or merge state with local, county, or education public employees.
[Summit 2010] Achieving Value and Cost Effective Care in Today's Health Care ClimateMultimedia7/28/2010 12:00:00 AM/default.aspx?tabid=2091120911Achieving Value and Cost Effective Care in Today's Health Care Climate Session. Dr. Brent James, internationally known for his work in clinical quality improvement and patient safety, discusses how improving health quality provides better patient care and saves costs.
[Summit 2010] The Future of Nursing and Primary Care: Implications for StatesMeetings7/27/2010 12:00:00 AM/default.aspx?tabid=2096320963The Future of Nursing and Primary Care: Implications for States - a Legislative Summit 2010 Session
[Summit 2010] The Innovator's Prescription: A Disruptive Solution to the Health Care CrisisMeetings7/26/2010 12:00:00 AM/default.aspx?tabid=2090720907The Innovator's Prescription: A Disruptive Solution to the Health Care Crisis; a July 2010 Legislative Summit session
[Summit 2010] Achieving Value and Cost Effective Care in Today's Health Care ClimateMultimedia7/26/2010 12:00:00 AM/default.aspx?tabid=2094920949Dr. Brent James, internationally known for his work in clinical quality improvement and patient safety, discusses how improving health quality provides better patient care and saves costs.
[Summit 2010] Taming Health Costs: States Making a DifferenceMultimedia7/25/2010 12:00:00 AM/default.aspx?tabid=2079520795Taming Health Costs: States Making a Difference Session
[Bookstore] Health Cost Containment and Efficiencies: 10 NCSL Briefs for State LegislatorsBooks7/20/2010 12:00:00 AM/default.aspx?tabid=2086320863This 10-brief series discusses various aspects of health care payment and purchasing reforms. The briefs examine options for containing or reducing health costs and improving efficiency in health care.
[Fall Forum 09] Containing Health Costs and Improving Efficiency: Audio + SlidesMultimedia5/15/2010 12:00:00 AM/default.aspx?tabid=1933319333States are struggling to maintain an array of health programs and payment obligations that cost more than 30 percent of many state budgets. A new NCSL project is evaluating two dozen promising practices that may "bend the cost curve" toward affordability for the long term to see if any might produce immediate savings. Hear from the project's top researchers and preview the first several study papers.
[LegisBrief] Medication Therapy Management: Catching Errors, Saving Lives and MoneyArticles/Briefs/ Newsletters1/12/2010 12:00:00 AM/default.aspx?tabid=1952019520Because providers and prescribers may be unaware of all medications a patient takes, states can offer medication therapy management as a reimbursed professional service.
[SL Magazine] Managing the Medicaid MessArticles/Briefs/ Newsletters4/2/2009 12:00:00 AM/default.aspx?tabid=1665916659States are facing growing numbers of people in need of medical care, and even billions from the economic recovery package will not solve all their problems.
[LegisBrief] Retail Store Health ClinicsArticles/Briefs/ Newsletters4/1/2009 12:00:00 AM/default.aspx?tabid=1830818308Although retail health care clinics located in supermarkets and drug stores are convenient and affordable, state regulation of them is limited.
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