John Tranfaglia, Research Analyst
John Tranfaglia joined NASHP in November 2015 as a Research Analyst on the Long Term Services and Supports Team. John’s work is focused on federal evaluation efforts pertaining to LTSS population. John works extensively on the evaluations of the Financial Alignment Initiative (FAI) demonstration for the Centers for Medicare & Medicaid Services (CMS) and the Balancing Incentives Program (BIP) for the Assistant Secretary for Planning and Evaluation (ASPE). In this capacity, he helps arrange and participates in annual site visits, observes beneficiary focus groups, and assists in analysis and report writing for six states. Based on findings from these site visits and focus groups, John has co-authored focus group memorandums for the Centers for Medicare & Medicaid Services, as well as a public issue brief which is an analysis across all FAI focus groups. He has also co-authored the final report for the Assistant Secretary for Planning and Evaluation that details specific efforts states made to achieve rebalancing. Prior to joining NASHP, John worked at CQ Roll Call, where he covered state legislative and regulatory affairs. In addition to his work at CQ, John has held positions at the Truth Initiative, HCM Strategists, and the Office of Congresswoman Chellie Pingree (D-ME). John received his B.A. in Political Science from American University in 2013.

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































