Payment and Delivery Reform
FEATURED ARTICLE
Data for Change: How States Have Used APCDs to Drive Innovation
/in Policy Maryland, New Hampshire Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Tamara KramerState-run all-payer claims databases (APCDs) are a critical public resource and serve a unique function in the current era of health care reform. APCDs, which are operating in 18 states, provide fair and equal access to independently validated data that can both support evidence-based policymaking as well as help patients navigate the health care system. […]
Webinar: Advancing Health through Accountable Communities: A Conversation with States
/in Policy Webinars Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement, Value-Based Purchasing /by NASHP StaffUpdate: Sixth Circuit Declines to Expand ERISA; State Assessments on Self-Funded Insurers Upheld
/in Policy Blogs Accountable Health, Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement /by Tamara KramerIn a recent blog, NASHP highlighted a 6th Circuit case that had the potential to jeopardize the future of state assessments on self-funded plans (Self-Insurance Institute of America Inc. v. Snyder et al.). In March, the Supreme Court instructed the 6th Circuit to take a second look at a recent decision where the lower court […]
Rhode Island Becomes the Latest State to Pass Opioid Legislation in 2016
/in Policy Rhode Island Blogs Behavioral/Mental Health and SUD, 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, Quality and Measurement /by Charles TownleyOn June 28, 2016, Rhode Island Governor Gina Raimondo signed a series of bills to address opioid misuse and abuse in the state. Rhode Island is the most recent New England State to pass such legislation this year; the regional trend began in Massachusetts when Governor Baker signed omnibus legislation back in March. A summary […]
New York Joins State-Led Fight to Combat Opioid Crisis, Passes New Legislation
/in Policy New York Blogs Behavioral/Mental Health and SUD, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health /by Charles TownleyOn June 22, 2016, New York Governor Andrew Cuomo signed a package of seven bills related to opioids and treatment for opioid addiction. The legislation, which includes recommendations from the governor’s Heroin and Opioid Task Force, is aimed at combatting the heroin and opioid crisis affecting the state. The state’s FY2017 budget includes nearly $200 […]
Enhancing Care Quality for Medicaid Beneficiaries Living with HIV/AIDS: New NASHP Case Studies
/in Policy New York, Wisconsin 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, HIV/AIDS, Long-Term Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health /by Chiara Corso and Rachel DonlonNASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]
In the Zone: State Strategies to Advance Health Equity by Investing in Community Health
/in Policy Charts, Reports Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Population Health, Social Determinants of Health /by NASHP WritersIn the wake of national health care reform, many states are transforming their health care delivery systems to improve the health of populations while controlling costs. Reducing health disparities—and addressing the social and economic conditions driving them—is at the heart of many of these efforts. Embedded within larger statewide system transformations such as enhanced primary […]
State Levers to Advance Accountable Communities for Health
/in Policy California, Minnesota, Vermont, Washington Reports Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Housing and Health, Medicaid Expansion, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health /by Lesa Rair, Taylor Kniffin and Felicia HeiderStates are testing a myriad of models that strive to achieve the Triple Aim objectives of improved care, reduced health care costs, and better health. Though several statewide health care delivery and payment system reforms have been shown to help slow the growth of health care expenditures and improve methods for delivering health care, taken […]
Connecticut and Vermont Join the Ranks of New England States Limiting Opioid Prescriptions; Congress Also Takes Steps to Address Epidemic
/in Policy Connecticut, Vermont 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 /by Chiara Corso and Charles TownleyOn May 10, 2016, Connecticut Governor Dannel Malloy signed legislation limiting most first-time opioid prescriptions to seven days (Pub. Act 16-43). The Vermont General Assembly passed a similar bill earlier this month, which will require the state’s Health Commissioner to adopt rules governing opioid prescribing. (Note: The Vermont law was passed during the final week […]
State Medicaid and Early Intervention Agency Partnerships to Promote Healthy Child Development
/in Policy Reports CHIP, CHIP, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Quality and Measurement /by Felicia HeiderFacilitating a robust system of communication and coordination between medical and community service providers, an important goal of many health care delivery system reforms, is challenging for many states. With a variety of federal and state agencies sharing responsibility for child health and development, creating effective linkages among services is critical to optimizing outcomes. This […]
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