Payment and Delivery Reform
FEATURED ARTICLE
2022 State Legislative Action to Lower Pharmaceutical Costs
/in Prescription Drug Pricing Featured News Home, Maps Cost, Payment, and Delivery Reform, Health System Costs, Legislative Tracker, Prescription Drug Pricing, State Rx Legislative Action Prescription Drug Pricing /by NASHP Staff2022 State of the State Addresses Reflect Realities of Health, Economic Recovery
/in Health Coverage and Access Blogs Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health System Costs, Maternal, Child, and Adolescent Health, Population Health, Prescription Drug Pricing /by Allie Atkeson, Anita Cardwell, Clare Cartheuser, Rebecca Cooper, Gia Gould and Elinor HigginsMassachusetts Health Policy Commission Takes Steps to Hold High-Cost Health System Accountable
/in Health System Costs Massachusetts Blogs, Featured News Home Cost, Payment, and Delivery Reform, Health System Costs /by Johanna ButlerIn January, for the first time in its history, the Massachusetts Health Policy Commission (HPC)’s Board voted to require the Mass General Brigham (MGB) health system to submit a Performance Improvement Plan (PIP) because of the system’s substantial contributions to the state’s health care cost increases. The HPC’s comprehensive analysis of MGB cost data and […]
State Community Health Worker Models
/in Community Health Workers Featured News Home, Maps Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home Community Health Workers /by NASHP StaffTennessee’s Care Coordination Tool: Marshaling Data to Help Providers Coordinate Care
/in Care Coordination Tennessee Blogs, Featured News Home Care Coordination, Primary Care/Patient-Centered/Health Home /by Neva KayePaying Family Caregivers through Medicaid Consumer-Directed Programs: State Opportunities and Innovations
/in The RAISE Act Family Caregiver Resource and Dissemination Center Connecticut, Florida, Virginia Featured News Home, Reports Chronic and Complex Populations, Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Population Health, State Resources, The RAISE Family Caregiver Resource and Dissemination Center, Workforce Capacity /by Salom Teshale, Wendy Fox-Grage and Kitty PuringtonFamily members provide significant amounts of care to relatives with complex needs, including those who are Medicaid enrollees.
Independent Analysis Finds Montana Has Saved Millions by Moving Hospital Rate Negotiations to Reference-Based Pricing
/in Policy Montana Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Value-Based Purchasing /by Johanna ButlerA new, independent analysis of the Montana state employee health plan’s transition to reference-based pricing – which limits hospital prices to a multiple of what Medicare pays – found significant savings for the state in the two years after its implementation. Further, there is no evidence that utilization artificially increased as a result of the new payment […]
Independent Analysis: Estimating the Impact of Reference-Based Hospital Pricing on the Montana State Employee Plan
/in Policy Montana Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Value-Based Purchasing /by NASHP StaffResources for States to Address Health Equity and Disparities
/in Policy Toolkits Accountable Health, Chronic Disease Prevention and Management, Community Benefit, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health Equity, Population Health, Social Determinants of Health Health Equity /by NASHP WritersMany states are transforming their health care delivery systems to improve health and control costs. Reducing health disparities — and addressing their social and economic causes — is at the heart of many of these efforts.
Hospital Transparency: State Efforts Reveal More Comprehensive Financial Data than Current Federal Requirements
/in Health System Costs Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Quality and Measurement, Value-Based Purchasing /by Amanda Attiya and Maureen Hensley-QuinnFederal efforts to increase hospital price transparency are falling short as hospitals fail to fully comply with requirements. However, states with transparency laws that give them access to comprehensive hospital financial data are using the pricing information to more fully analyze hospitals’ fiscal health and inform states’ cost containment efforts.
State Delivery System and Payment Reform Map
/in Policy Maps Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing Cost, Payment, and Delivery Reform /by NASHP