Payment and Delivery Reform
FEATURED ARTICLE
State Medicaid Quality Measurement Activities for Women’s Health
/in Policy CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement /by Anisha Agrawal*Maps and Chart updated as of November 3, 2017* State Medicaid agencies provide a variety of health services to women that promote overall health and well-being and support improved birth outcomes, such as reduction in infant mortality rates. States have the option of implementing performance measurement, incentives or improvement projects, including as part of broad […]
Estimated AHCA and ACA Premiums and Tax Credits by State, Income, Age, and Select Counties
/in Policy Charts Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffThese sheets supplement NASHP’s brief, Health Care is Local: Impact of Income and Geography on Premiums and Premium Support. Using data and modeling from the Kaiser Family Foundation, we present estimated premiums and tax credits under current law created by the Affordable Care Act (ACA) and under the American Health Care Act (AHCA), as passed by […]
How might premium costs differ within states under the ACA and AHCA ?
/in Policy Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP StaffAccounting for age, income, and geography in premium tax credit structure Whether or not states would embrace the waivers included in the AHCA to fundamentally restructure health insurance in the individual market remains a question. But what is clear, even without waivers, the AHCA will significantly alter how premiums and subsidies are set resulting in […]
Health Care is Local: Impact of Income and Geography on Premiums and Premium Support
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by NASHP WritersThe American Health Care Act (AHCA) proposes a significant change in how and to whom premium tax credits are dispersed, proposing a flat rate adjusted only by age. The Affordable Care Act (ACA) bases its premium tax credit calculation on three factors: age, income and local cost of insurance premiums. While there has been extensive […]
County-by-County Premium Variation
/in Policy Charts, Maps Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersRapidly Transforming Delivery Systems
/in Policy Annual Conference Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP WritersTuesday, October 24th 3:30PM-5:00PM States are now undertaking a myriad of transformation initiatives to rapidly revamp, strengthen, and sustain their Medicaid delivery systems. Session speakers, including Medicaid directors from Massachusetts and New Hampshire and a Medicaid and CHIP Payment and Access Commission representative, provide an overview of the delivery system reform landscape and share lessons […]
Advancing Children’s Behavioral Health Through Systems Integration
/in Policy Annual Conference Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP WritersWednesday, October 25th 9:15AM-10:45AM Early life experiences profoundly impact children’s development. Mental health issues and adverse events during childhood are associated with lower educational achievement, involvement in the criminal justice system, and poorer health outcomes in adulthood. With numerous systems serving children, states are adopting cross-cutting strategies to promote children’s behavioral health and establish early […]
Reaching the Summit: Trekking Towards Value-Based Payment
/in Policy Colorado, Oklahoma, Tennessee Annual Conference Cost, Payment, and Delivery Reform /by NASHP WritersWednesday, October 25th 9:15AM-10:45AM Today, many states have had significant experience developing value-based payment models for various provider types and patient populations, but is value-based purchasing making an impact on the Triple Aim of higher health care quality, lower costs, and improved patient experiences? Many states have prioritized value-based purchasing in an effort to drive […]
Narrowing the Gap, Creating a Culture of Health
/in Policy Annual Conference Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health /by NASHP WritersTuesday, October 24th 10:00AM-11:30AM To transform state health care payment and delivery systems, policymakers are crafting new delivery models that invest in social determinants of health while cutting costs by improving population health. California, Michigan, Oregon, and Washington State representatives discuss their approaches to developing “accountable health” models to create a culture of health by […]
CHIP and Medicaid are Essential Partners for Cross Agency Collaboration to Better Serve Children
/in Policy Massachusetts Blogs Care Coordination, Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, EPSDT, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by Olivia BaconIncreasingly states are focused on the critical role social determinants play in health, and public coverage programs play a key role in this focus. For more than 20 years, the Children’s Health Insurance Program (CHIP) has worked in coordination with state Medicaid programs to serve the health needs of low-income children. States are leveraging Medicaid […]

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