Payment and Delivery Reform
FEATURED ARTICLE
NASHP Leaders’ Summit: Views on the Current Congressional Debate
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Population Health, Quality and Measurement, State Insurance Marketplaces /by NASHP StaffIn signaling that it will craft its own health reform proposal, the U.S. Senate opens the door for new approaches to address cost, coverage, and access. In tandem, state officials are assessing the impact of potential changes and weighing their options. The National Academy for State Health Policy (NASHP) recently “took the pulse” of state […]
State Strategies to Measure and Incentivize Adolescent Depression Screening and Treatment in Medicaid
/in Policy Minnesota, Oregon Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health, Population Health /by Alexandra KingIn light of Mental Health Awareness month, it is important to highlight that a significant number of children and youth experience mental health issues. According to research, half of all lifetime cases of mental illness begin by age 14 and depression is the second most prevalent behavioral health disorder among Medicaid-enrolled children. State Medicaid programs […]
Physical and Behavioral Health Integration: State Policy Approaches to Support Key Infrastructure
/in Policy Reports Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, Quality and Measurement /by Kitty Purington and Charles TownleyThrough the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems. Rather than adopting specific integrated care models, states may benefit from taking a broader approach that builds […]
Focus on AHCA Amendments Misses Underlying Legislation
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Lesa RairA statement from NASHP Executive Director Trish Riley “Focusing on the amendments to the AHCA diverts attention from the underlying legislation. Included there are significant cuts to coverage programs. Flexibility is not a synonym for savings. While state flexibility and the added funding for risk mitigation could create more efficiency and stimulate innovation, by itself […]
Using DSRIP to Improve Population Health
/in Policy Alabama, California, Massachusetts, New York, Washington Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Population Health, Social Determinants of Health /by Tina Kartika and Jill RosenthalUnder the authority of Section 1115 demonstrations, some states have implemented Delivery System Reform Incentive Payment (DSRIP) programs to improve care, improve health, and lower costs by incentivizing and supporting care delivery redesign that transitions away from episodic treatment toward prevention and management of health and wellness for low-income populations. DSRIP programs restructure Medicaid funding […]
How Massachusetts SHOP-ed for a New Small Group Marketplace
/in Policy District Of Columbia, Massachusetts Blogs Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Quality and Measurement, State Insurance Marketplaces /by NASHP WritersEarlier this spring, the Massachusetts Health Connector (Health Connector), the health insurance exchange of the commonwealth, announced that it would be joining Washington, D.C.’s, exchange, DC Health Link, in a first-of-its-kind collaboration to develop a joint platform for their small business exchanges. This partnership is an exciting example of the collaborative possibilities for states. By […]
Lessons from States on Advancing Evidence-based State Health Policymaking for the Effective Stewardship of Healthcare Resources
/in Policy Alabama, Colorado, Massachusetts, Minnesota, Oregon, Washington Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Quality and Measurement /by Felicia HeiderAn evidence-based approach to policymaking enables states to direct health care resources toward the clinical care and health service delivery models most likely to deliver the results state health policymakers seek: better health outcomes through the efficient stewardship of public funds. As states face changing priorities and rising health care costs there is additional pressure […]
Should Maine’s Invisible High Risk Pool Law be the Model to Address Market Stability Nationally?
/in Policy Maine Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by NASHP WritersThe urgency to stabilize the individual markets is palpable in the states. Insurers will begin filing preliminary rates for 2018 next month and are developing those rates in a period of uncertainty. Will cost sharing reductions continue? Will there be some help to stabilize the market, calm jittery insurers and assure that consumers in every […]
The New Substance Use Disorder Confidentiality Rules: A Work in Progress
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Quality and Measurement /by Liz McCamanThe Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued a highly anticipated update to 42 CFR Part 2, the regulation that governs sharing patient information by federally-designated substance use disorder (SUD) providers. The rule is timely: SUD has become a major cost driver, and many state policymakers are focused on the integration of […]
Delaware and Georgia Use Innovative Strategies to Promote Women’s Health in Medicaid
/in Policy Delaware, Georgia Blogs CHIP, CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Population Health, Quality and Measurement /by Liz McCamanUnplanned pregnancies present a challenge for many women, their families and communities, and are associated with a number of costly health outcomes, including delayed prenatal care, premature birth and low birth weight. Federal initiatives like the Collaborative Improvement & Innovation Network to Reduce Infant Mortality (IM CoIIN) have helped to engage state leaders in efforts […]

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