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| National Academy for State Health Policy | |
|---|---|
| Name | National Academy for State Health Policy |
| Founded | 1988 |
| Headquarters | Burlington, Vermont |
| Type | Nonprofit organization |
| Focus | State health policy, Medicaid, public health |
National Academy for State Health Policy is a nonprofit organization focused on state-level health policy analysis, technical assistance, and convening. It works with state agencies, legislative bodies, and health stakeholders to inform policy decisions on Medicaid, health insurance marketplaces, behavioral health integration, and rural health systems. The organization convenes policymakers, supports implementation of federal statutes such as the Affordable Care Act, and produces research used by state officials, think tanks, and federal agencies.
Founded in 1988, the organization emerged amid debates influenced by figures and institutions such as William J. Brennan Jr.-era jurisprudence, the Omnibus Budget Reconciliation Act of 1981, and policy shifts prompted by the Robert Wood Johnson Foundation. Early activities intersected with programs like Medicaid managed care demonstrations and collaborations with state entities including the Centers for Medicare & Medicaid Services and the National Governors Association. Over decades, its trajectory paralleled major events and laws including the Balanced Budget Act of 1997, the Children's Health Insurance Program expansion, and implementation of the Patient Protection and Affordable Care Act. The organization’s work has been cited alongside analyses from organizations such as the Kaiser Family Foundation, the Urban Institute, and the Brookings Institution.
The stated mission emphasizes providing nonpartisan technical assistance to state policymakers, drawing on comparative analyses similar to work by the Commonwealth Fund and the RAND Corporation. Activities include convening policy academies modeled after initiatives from the Institute of Medicine and facilitating exchanges akin to programs run by the Council of State Governments and the National Conference of State Legislatures. The organization supports operational issues—Medicaid waivers, telehealth adoption, opioid epidemic response—working with stakeholders such as state health officials, legislators, tribal nations, and provider associations like the American Medical Association and the Association of State and Territorial Health Officials.
Governance is administered by a board of directors composed of former state officials, health system leaders, and policy experts with backgrounds connected to entities like the U.S. Department of Health and Human Services, the Centers for Disease Control and Prevention, and state health departments. Past leadership ties include collaborations with individuals who have served in roles at the Office of Management and Budget, the Health Resources and Services Administration, and academic centers such as the Harvard T.H. Chan School of Public Health and the Johns Hopkins Bloomberg School of Public Health. The organization’s executive staff engage with legislative leaders from bodies including the United States Senate health committees and state legislatures such as the California State Legislature and the New York State Assembly.
Programs span technical assistance, policy academies, and implementation support for initiatives like Section 1115 waivers and Medicaid expansion strategies seen in states such as Kentucky, Oregon, and California. Initiatives include work on behavioral health integration similar to the efforts of the Substance Abuse and Mental Health Services Administration, maternal health collaborations echoing partnerships with the March of Dimes, and rural health strategies aligned with the National Rural Health Association. Convening efforts bring together stakeholders from organizations like the Robert Wood Johnson Foundation, the Pew Charitable Trusts, and the Annie E. Casey Foundation.
The organization produces issue briefs, policy trackers, and implementation guides referenced by state policymakers and scholars at institutions such as Georgetown University, Yale University, and Columbia University. Publications analyze topics including Social determinants of health policy implementation in coordination with the Commonwealth Fund, evaluations of Medicaid managed care alongside the Urban Institute, and assessments of telehealth policy aligned with reports from the Federal Communications Commission. Research outputs have been cited in work by think tanks such as the Heritage Foundation and academic journals associated with the American Public Health Association.
Funding sources include foundations and federal grants, with historic grantmakers and partners comprising the Robert Wood Johnson Foundation, the Rockefeller Foundation, the MacArthur Foundation, and programs funded by the Centers for Medicare & Medicaid Services. Collaborative partnerships include state agencies, national associations like the National Association of State Medicaid Directors, advocacy groups such as Families USA, and academic research centers including the Center on Budget and Policy Priorities and the Milken Institute School of Public Health.
Impact is measured through adoption of state policies, changes in Medicaid enrollment and payment models, and implementation outcomes in areas like opioid crisis response and maternal mortality reduction. Evaluations reference methodologies employed by the Government Accountability Office, the Office of Inspector General (Department of Health and Human Services), and independent analysts at the Brookings Institution and RAND Corporation. The organization’s role in state policy diffusion is often compared to networks such as the National Governors Association and policy research entities like the Kaiser Family Foundation, with documented influence on waiver strategies, value-based purchasing, and cross-state learning collaboratives.
Category:Health policy organizations in the United States