Payment and Delivery Reform
FEATURED ARTICLE
It Is Time for a Thoughtful, Bipartisan Discussion About What Kind of Health Care America Wants
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement, Value-Based Purchasing /by Trish RileyThe Graham-Cassidy amendment represented a radical overhaul of how health care coverage is financed and delivered, raising anew the question of federalism – what should the federal government guarantee and how much state variation should be supported? The legislation tossed most critical health care coverage and policy decisions to states without giving them sufficient time or […]
SIM Round One Test States Expand Value-Based Payments in Medicaid, and in Some Cases, Beyond
/in Policy Maine, Minnesota, Vermont Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Jennifer ReckThe Centers for Medicare & Medicaid Services (CMS) recently released its third annual evaluation of the State Innovation Model (SIM) Round One Test States, which analyzes the ability of states to use policy and regulatory levers to drive statewide health care transformation. The evaluation, completed by a team of researchers from RTI International, the Urban […]
State Medicaid Agencies Venture into Value-Based Purchasing with Federally Qualified Health Centers
/in Policy Colorado, Hawaii, Michigan, Nevada, Oklahoma Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health, Value-Based Purchasing /by Rachel DonlonState Medicaid agencies have generally found it challenging to include federally qualified health centers (FQHCs) in value-based purchasing initiatives because of a federal law passed in 2000 that regulates how state Medicaid programs pay FQHCs for the care they provide. State Medicaid agencies are required to reimburse FQHCs through the Prospective Payment System (PPS), a […]
With the Clock Ticking on Health Care, the Senate Weighs Bipartisanship vs. a Repeal and Replace Revival
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, State Insurance Marketplaces /by Anita CardwellTime is running out for Congress to reform the nation’s health care system, and the Senate is considering two options that could impact state health care policies dramatically. The choices include a bipartisan bill to stabilize the Affordable Care Act’s (ACA) insurance markets and give states the information they need to set insurance rates for […]
Learn How Oregon Is Integrating Oral and Physical Health in Medicaid Through Its Coordinated Care Organizations
/in Policy Oregon Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Oral Health /by Najeia MentionMany adults enrolled in Medicaid lack adequate dental care coverage, which is essential to overall health. Oregon is a pioneer, using Medicaid coordinated care organizations to offer integrated physical, mental health, and now oral care. A new NASHP report, supported by the DentaQuest Foundation, examines Oregon’s innovative payment and financing structures, incentive measures, and key […]
Health Reform Hub: Repeal, Replace, or Repair?
/in Policy Toolkits Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersState Strategies to Address Rising Prices Caused by Health Care Consolidations
/in Policy Annual Conference, Reports Community Benefit, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Quality and Measurement /by Erin Fuse Brown, JD, MPHForeward by Trish Riley, NASHP Executive Director The debate over the future of the Affordable Care Act (ACA) and the stability of the individual health insurance markets masks a bigger issue–the underlying cost of health care. From NASHP’s Center for State Rx Drug Pricing to our work on value-based purchasing and alternative payment methods, we support states […]
Risky Business: How State and Federal Insurance “Risk” Calculations Could Stabilize ACA Markets
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Corinne AlbertsAs Congress returns from its summer break, the country is two months away from the start of open enrollment in the Affordable Care Act’s (ACA) marketplace, leaving little time for policymakers to develop solutions for 2018. With bipartisan hearings on market stabilization scheduled, this blog examines how different approaches to calculating risk could help state […]
Webinar: Value-Based Alternative Payment Methodologies for Federally Qualified Health Centers: Lessons from Colorado and Minnesota
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Safety Net Providers and Rural Health, Value-Based Purchasing /by Hannah Dorr and Rachel DonlonState of Play: Latest Update on Federal Health Reform Efforts
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartAfter recent failed efforts to pass a health care repeal or replace bill, Congress spent much of last week re-grouping on a future healthcare strategy. While most current signals point to the likely end of a full ACA legislative repeal effort, there is pervasive recognition that there are issues that need to be urgently addressed […]

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