Payment and Delivery Reform
FEATURED ARTICLE
Slide Deck: Understanding the Health Care Cost Conundrum in 2020
/in Health System Costs Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Total Cost of Care Benchmark, Value-Based Purchasing Health System Costs /by Johanna ButlerTo help state policymakers engage in difficult discussions around how best to lower the health care cost trajectory, the National Academy for State Health Policy created the slide deck, Understanding the Health Care Cost Conundrum in 2020, featuring factual information about rising health care costs. This toolbox features multiple sections that could be used together […]
NASHP Resource Hub: State Strategies to Build and Support Palliative Care
/in Policy Reports, Toolkits Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Featured Policy Home, Health Coverage and Access, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Population Health, Workforce Capacity Chronic and Complex Populations /by Kitty Purington, Wendy Fox-Grage and Salom TeshalePalliative care helps individuals with serious illness better manage the symptoms and stressors of disease. These services are interdisciplinary, person- and family-centered, and can help people at any stage of a serious illness.
States are uniquely positioned to influence how Americans think about access, and experience palliative care.
States Are Increasing their Use of Medicaid Managed Care for Children and Youth with Special Health Care Needs
/in Medicaid Managed Care Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Program Design, Special Populations and Services /by Olivia Randi and Kate HonsbergerA new, 50-state analysis of Medicaid managed care programs by the National Academy for State Health Policy (NASHP) shows that in the past three years, state Medicaid managed care (MMC) programs have: Enrolled more children and youth with special health care needs (CYSHCN); Provided more services to them through managed care; and Launched more specialized […]
Patient-Centered Outcome Research Institute Informs States’ Use of Telehealth
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, COVID-19, Population Health, Quality and Measurement, Quality and Measurement /by Amanda Attiya, Christina Cousart and Maureen Hensley-QuinnIn response to COVID-19, states have made swift and unprecedented changes to enable the use of telehealth to meet the public’s need to safely access care remotely. Now, policymakers face the challenge of analyzing whether to sustain these changes as they weigh cost, privacy, and security considerations and effectiveness of remote care delivery. As officials […]
Three States’ Efforts to Use Accountable Care to Improve Oral Health Services in Medicaid
/in Policy Colorado, Maine, Oregon Blogs, Featured News Home Accountable Health, Child Oral Health, CHIP, CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Oral Health, Population Health, Quality and Measurement /by Neva Kaye#NASHPCONF20 Highlighted States’ Creativity in Addressing Equity, Bolstering Health Care, and Preserving Safety Nets during COVID-19
/in #NASHPCONF20 Blogs, Featured News Home Behavioral/Mental Health and SUD, Chronic and Complex Populations, Consumer Affordability, Cost, Payment, and Delivery Reform, COVID-19, Health Coverage and Access, Health Equity, Health System Costs, Long-Term Care, Making the Case for Action, Population Health, Prescription Drug Pricing, Social Determinants of Health, State Insurance Marketplaces, State Rx Legislative Action, Value-Based Purchasing /by Trish RileyLast week, over 1,000 state health policy leaders and others from every state joined the National Academy for State Health Policy’s (NASHP) first-ever virtual state health policy conference to discuss a path forward during an unrelenting pandemic and profound budget challenges. As one state official noted, “This was a chance to lift my eyes from […]
CMS Proposes Rule to Support Value-Based Purchasing for Drugs
/in Policy Blogs, Featured News Home Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Prescription Drug Pricing, State Employee Health Plans, Value-Based Purchasing /by Jennifer ReckThe Centers for Medicare & Medicaid Services (CMS) has proposed a new rule with provisions designed to advance value-based purchasing (VBP) arrangements with drug manufacturers. Comments about the proposal are due July 20, 2020.
Toolkit: National Standards for Children and Youth with Special Health Care Needs
/in Policy Toolkits Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, 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, Featured Policy Home, Health Coverage and Access, Health Equity, Health IT/Data, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health /by NASHP StaffThe National Standards for Systems of Care for Children and Youth with Special Health Care Needs (CYSHCN) define the core components of a comprehensive, coordinated, and family-centered system of care for CYSHCN.
Toolkit: Upstream Health Priorities for Governors
/in Policy Toolkits Behavioral/Mental Health and SUD, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Palliative Care, Population Health, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing, Workforce Capacity /by NASHP WritersGovernors can control costs, advance their priorities, and enhance lives by improving the social and economic conditions that make up 80 percent of the factors affecting their residents’ health. Governors are uniquely positioned to maximize state resources to address the conditions affecting health by leading cross-agency and public-private collaborations, leveraging siloed state resources, and advancing evidence-based health policy approaches.
Questions Remain as States Look to Evidence-Based Research to Inform Adoption of Telehealth
/in Policy Blogs, Featured News Home Cost, Payment, and Delivery Reform, Quality and Measurement /by Christina Cousart and Maureen Hensley-QuinnIn response to the COVID-19 epidemic, health systems are increasing their use of virtual tools and telehealth at unprecedented speed and insurers are expanding coverage for the services. These tools have great potential to help consumers access services that may be difficult to do so in-person and help physicians manage patients’ care remotely. As the […]
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