Payment and Delivery Reform
FEATURED ARTICLE
Minnesota Accountable Community for Health Saves Medicaid $3.8 Million through Its Opioid Prevention Initiative
/in Policy Minnesota Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Expansion, Population Health, Social Determinants of Health /by Amy ClaryMorrison County’s Accountable Community for Health Accomplishments: Tapered 453 patients off narcotic, stimulants, and benzodiazepine prescriptions, which resulted in 540,000 fewer doses; Saved Medicaid $3.8 million by reducing these drug prescriptions; and Reduced jail time from an average 17 days to less than one in 36 surveyed patients who received medication-assisted treatment (Suboxone). *CHI St. […]
Q&A with Pennsylvania’s Insurance Chief: Jessica Altman Explores the Evolving Role of Insurance Coverage
/in Policy Pennsylvania Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP WritersIn late March, Jessica Altman became Pennsylvania’s insurance commissioner, responsible for protecting consumers in the fifth-largest insurance market in the United States and the 14th-largest in the world. Altman, who is vice chair of the National Academy for State Health Policy’s (NASHP) Health Care Access and Finance Steering Committee, helped implement the Affordable Care Act […]
States’ Prescription Drug Transparency Laws Open the Black Box of Drug Pricing
/in Policy Blogs, Charts Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Model Legislation, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by NASHP WritersSeveral states have passed drug price transparency laws that require drug makers to report the reasons behind dramatic price increases. These laws are an important first step to shine a light on why drug prices are rapidly climbing. To address a problem, state health policymakers need to understand it, but transparency laws don’t yet give […]
Leveraging State Purchasing Power to Stabilize the Individual Insurance Market: Washington State Leads the Way
/in Policy Washington Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces, Value-Based Purchasing /by NASHP WritersWashington state has enacted a groundbreaking law to help stabilize its individual insurance market and prevent “bare counties,” areas of the state without an insurance option on its exchange. Sponsored by longtime National Academy for State Health Policy (NASHP) member, state Rep. Eileen Cody, HB 2408 requires insurance plans covering state or school employees to offer at least […]
The Evolving Promise of Delivery System Reform Incentive Programs
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Jill RosenthalAmong the transformation initiatives states are undertaking to revamp, strengthen, and sustain their Medicaid delivery systems are provider payment incentives designed to lower costs and improve quality of care and health outcomes. A recent National Academy for State Health Policy (NASHP) report on Delivery System Reform Incentive Payment (DSRIP) programs and similar state incentive programs, […]
NASHP State Leaders Meet to Reflect and Plan in a Changing Health Care Environment
/in Policy Blogs CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Expansion, Population Health, Social Determinants of Health, State Insurance Marketplaces /by NASHP WritersLast week, 24 National Academy for State Health Policy (NASHP) leaders, including state lawmakers and representatives from governors’, budget, and insurance offices, Medicaid and public health agencies, and insurance exchanges, CHIP and health policy commissions met in Washington, DC, to assess the issues and opportunities confronting state health policymakers. The robust discussion helps NASHP set […]
State and Federal Officials Explore Ways to Promote Healthy Child Development in a New Era
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Equity, Health System Costs, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by Carrie Hanlon and Jill RosenthalThe first years of life significantly impact long-term health and well-being and policymakers have worked hard to create initiatives that help children during this important period. Recently, the National Academy for State Health Policy (NASHP) convened state and federal leaders from agencies serving young children to discuss innovative approaches to advance healthy child development in […]
Congressional Leaders Propose ACA Insurance Stabilization Measures in Omnibus Budget Bill
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartOn Friday, March 23, 2018, Congress faces an important deadline to pass an omnibus budget bill to avert a government shutdown. Measures to bolster states’ Affordable Care Act (ACA) markets are currently not in the bill, but a group of lawmakers have proposed an amendment that could strengthen and stabilize insurance markets. Sens. Lamar Alexander […]
An Oregon State Lawmaker Crafts a Winning Strategy for Transparency Legislation
/in Policy Oregon Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by NASHP StaffLast week, Oregon Gov. Kate Brown signed a drug cost transparency bill into law that requires drug makers to report the reasons behind dramatic drug price increases. The bill’s leading advocate and architect, state Rep. Robert Nosse, D-Portland, worked for nearly three years to create a prescription cost containment bill that would win bipartisan support […]
Can States Regulate Drug Costs without Violating Patent Law? Yes, Here’s Why
/in Policy Blogs Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Legal Resources, Prescription Drug Pricing, State Rx Legislative Action /by Jane HorvathWhen states pass laws that enable them to regulate prescription drug costs or mandate drug pricing transparency, the pharmaceutical industry always fires back with lawsuits claiming the states are violating federal law. In 2017, the industry sued every state that enacted drug cost containment legislation claiming they had violated myriad federal laws, including the Patent […]

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. 
























































































































































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