Payment and Delivery Reform
FEATURED ARTICLE
States Develop New Approaches to Improve Population Health Through Accountable Health Models
/in Policy California, Colorado, Connecticut, Delaware, Massachusetts, Michigan, Minnesota, New York, Oregon, Rhode Island, Vermont, Washington Blogs, Reports Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health IT/Data, Housing and Health, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing Accountable Health /by Amy Clary, Tina Kartika, Jill Rosenthal and Elinor HigginsState Health Watch – What’s Ahead in 2018?
/in Policy Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Healthy Child Development, Immunization, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement, Value-Based Purchasing /by Trish RileyState health policymakers enter 2018 buffeted by unsettled insurance markets, reductions in public health and prevention revenue, and uncertain funding for Medicaid and health care delivery reforms. Will state innovation and more flexibility to restructure insurance and payment and delivery systems be enough to reduce medical costs and safeguard access to health care? Will new […]
Case Studies: Innovative State Programs That Promote Children’s Health
/in Policy Blogs, Reports CHIP, CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Health IT/Data, Healthy Child Development, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement /by Alexandra King and Carrie HanlonMany states use innovative approaches in their Children’s Health Insurance Program (CHIP) and Medicaid programs to improve the quality of pediatric care and preventive services. With support from the Health Resources and Services Administration (HRSA) under the Alliance for Innovation on Maternal and Child Health, NASHP has developed several case studies that highlight successful initiatives […]
Toolkit: State Strategies to Improve Health Outcomes for People Living with HIV
/in Policy Alaska, California, Connecticut, Georgia, Illinois, Iowa, Louisiana, Maryland, Massachusetts, Michigan, Mississippi, Nevada, New Hampshire, New York, North Carolina, Rhode Island, Virginia, Washington, Wisconsin Toolkits Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health IT/Data, HIV/AIDS, Medicaid Managed Care, Population Health, Quality and Measurement /by Lyndsay Sanborn and Hannah DorrCollaboration between state health department HIV programs and Medicaid is integral to providing quality, comprehensive care to people living with HIV (PLWH). With consistent, well-coordinated care and access to antiretroviral therapy (ART) many PLWH can achieve virologic suppression.
Toolkit: State Strategies to Develop Value-Based Alternative Payment Methodologies for FQHCs
/in Policy Colorado, Hawaii, Michigan, Minnesota, Nevada, Oklahoma, Oregon, Washington Toolkits Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by NASHP WritersSearching for New Insurance Options, States Consider Medicaid Buy-In and Other Strategies
/in Policy Idaho, Massachusetts, Minnesota Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by Anita CardwellUncertainty about the future of health insurance options and concern about the ability of Affordable Care Act (ACA) marketplaces to offer adequate competition and choice have spurred states to look for new coverage approaches. Among the innovative strategies states are proposing are allowing consumers to buy into state Medicaid programs and developing state-specific coverage options […]
States Drive Innovations in Quality Measurement and Improvement for Children with Special Health Care Needs
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Anisha Agrawal and Becky NormileChildren and youth with special health care needs (CYSHCN) are a diverse population whose health care needs and costs often exceed those of most children. Improving care for this population is critical, yet challenging, due to the complexity of conditions of some children, and the multitude of systems (e.g., health, education, social services) and supports […]
Lessons from Project LAUNCH: Promoting Healthy Child Development through Behavioral Health Integration and Mental Health Consultation Where Children Live, Learn, and Grow
/in Policy Blogs Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health /by Becky NormileThe first few years of life are critical to a child’s development, setting the foundation for success in school and overall health and well-being later in life. Recent research proves that providing early, skilled behavioral and mental health interventions in venues where young children and their families live and play is highly effective at improving […]
States Share Data to Improve the Health of People Living with HIV
/in Policy Alaska, Louisiana, Maryland Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, HIV/AIDS, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by Natalie Williams and Rachel DonlonVirologic Suppression occurs when the amount of HIV in the blood is lowered to below 200 copies per milliliter or undetectable levels.PLWH are more likely to achieve and maintain virologic suppression when they have access to high-quality, coordinated and comprehensive care, antiretroviral therapy, and support services. A substantial body of research shows that virally-suppressed people […]
FQHC Readiness and Practice Transformation Strategies
/in Policy Toolkits Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Value-Based Purchasing Physical and Behavioral Health Integration /by NASHP StaffThe National Academy for State Health Policy (NASHP) designed this toolkit to support states interested in developing a value-based alternative payment methodology (APM) for federally qualified health centers (FQHCs). The following section on FQHC readiness and practice transformation discusses key considerations and promising strategies based on lessons learned from states during NASHP’s Value-Based Payment Reform […]
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