Payment and Delivery Reform
FEATURED ARTICLE
New Report Shows Increase in ED Utilizations for Behavioral Health – What States Can Do
/in Policy Delaware, Oregon, Washington Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, 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 /by Jenna BluesteinThe Agency for HealthCare Research and Quality (AHRQ) released an eye-opening study this past week, indicating that utilization of emergency department (ED) services due to behavioral health conditions increased sharply from 2006 to 2013. The brief “Trends in Emergency Department Visits Involving Mental and Substance Use Disorders,” highlights a 52 percent increase in ED utilization […]
Webinar Addresses Rising Cost of Pharmaceuticals
/in Policy Webinars Cost, Payment, and Delivery Reform, Prescription Drug Pricing /by NASHP WritersImplementing the Medicaid Managed Care Rule: A View from One State
/in Policy Virginia Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by NASHP WritersBy: Guest Blogger, Cheryl Roberts, Deputy Director of the Virginia Department of Medical Assistance Services and NASHP Academy Member During the 2016 NASHP Annual State Health Policy Conference, I gave my thoughts on 15 things that made me say, “Hmm” about the CMS Managed Care Regulations, aka The Mega Regs. I could note 40 but […]
Primary Care Provider Burnout: Implications for States & Strategies for Mitigation
/in Policy Virginia Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by NASHP WritersProvider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this brief addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as […]
Webinar: Improving Care for Dual Eligibles: How States are Innovating through Medicare Advantage D-SNP Plans
/in Policy Arizona, Minnesota, Tennessee Webinars Care Coordination, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Population Health /by Jenn JensonAddressing Inequities through Innovations in Oral Health Policy
/in Policy California, Connecticut, Maine, Oklahoma, Oregon, Washington Annual Conference, Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Managed Care, Oral Health, Population Health /by Lesa Rair and Najeia MentionStates have made great strides in improving children’s oral health, this includes a greater number accessing the dentist and a decline in untreated caries—tooth decay. Medicaid and the Children’s Health Insurance Programs (CHIP), which insure our nation’s most vulnerable populations, have played an important role by covering dental benefits for children. Some Medicaid agencies opted […]
Measuring Physical and Behavioral Health Integration: A Look at State Approaches in the Context of Value-Based Purchasing
/in Policy Reports Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement, Value-Based Purchasing /by Lesa Rair and Rachel DonlonThe case for an integrated approach to care—one that can seamlessly and collaboratively address patients’ physical and behavioral health needs—is compelling. Individuals with behavioral health conditions, either a mental health diagnosis, a substance use disorder, or both, are some of the Medicaid’s most costly enrollees.[i] Analyses indicate this subset of high-cost enrollees typically has a […]
21st Century Cures Act: Implications and Opportunities for States
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health /by Jenna BluesteinThe 21st Century Cures Act (“Cures”), signed into law on December 13, 2016, is being heralded as landmark legislation for biomedical innovation. Cures funds new research, streamlines the development of new drugs, and supports the inter-operability of health information systems. State policymakers, however, may want to focus their attention on Cures’ myriad behavioral health provisions, […]
Webinar: Measuring Physical and Behavioral Health Integration in the Context of Value-Based Purchasing
/in Policy Webinars Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Value-Based Purchasing /by NASHP StaffState Leaders Convened for National Issues Teleconference
/in Policy Blogs CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces, Value-Based Purchasing /by Lesa RairFollowing on the heels of our Leader’s Summit, held in October, last night NASHP convened our Academy members in a national issues forum teleconference to update each other and discuss emerging concerns and opportunities. From that discussion, several themes emerged: The uncertainty of policy direction confounds states and markets and leads to instability As policy […]
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