Payment and Delivery Reform
FEATURED ARTICLE
Policy Levers Key for Primary Health Care Organizations to Support Primary Care Practices in Meeting Medical Home Expectations: Comparing Leading States to the Australian Experience
/in Policy Colorado, North Carolina, Oregon Reports Cost, Payment, and Delivery Reform, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachA new study looks at how leading states stack up to Australia on organizing primary care. Colorado, North Carolina, and Oregon have implemented regionally based Medicaid-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations and improve the capacity of practices. Several countries with highly ranked delivery systems have implemented similar […]
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Tennessee, Washington Charts Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Housing and Health, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing /by NASHP WritersThe Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is an important component of the […]
What’s at Stake for States? The Lines are Drawn in Gobeille v. Liberty Mutual
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Quality and Measurement, Value-Based Purchasing /by Lesa RairOn December 2nd, the US Supreme Court will take up Gobeille v. Liberty Mutual, a case which could limit states’ ability to collect essential data to advance payment reforms, address cost and quality and assure consumers have information and access to care. At issue is whether or not a state can compel a self-insured employer to […]
Highlights from the Behavioral Health Preconference: It’s All about Collaboration
/in Policy Arizona, Connecticut, Massachusetts, Ohio Annual Conference, 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, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Lesa RairOn October 19th in Dallas, NASHP brought together a diverse group of state and federal Medicaid and mental health leaders to talk about emerging issues in the world of mental health, substance use, and recovery. True to its title, the pre-conference session “Whole Person Care: Finding Shared Solutions Across Mental Health, Substance Use, and Medicaid […]
Incorporating Delivery System Reform Incentives into Medicaid Waivers: State and Federal Perspectives
/in Policy New York, Oregon Webinars Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHPImproving Access and Building Behavioral Health Capacity Through Telehealth and Teleconsultation: Lessons from Mississippi and New Mexico
/in Policy Mississippi, New Mexico Webinars Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by NASHP StaffDuring this webinar, attendees hear from leaders from two nationally-acclaimed programs, including the Center for Telehealth at the University of Mississippi Medical Center and Project ECHO. Discussion includes overviews of each program, including identification of best practices, lessons learned, and key takeaways for state policymakers. Audience Q&A follows.
Corrections and Medicaid Partnerships: Strategies to Enroll Justice-Involved Populations
/in Policy Colorado, New Mexico, Wisconsin Webinars Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHP StaffMany individuals involved in the criminal justice system are now eligible for Medicaid in states that expanded the Medicaid program under the Affordable Care Act. Health coverage can provide individuals who are leaving incarceration with access to physical and behavioral health services critical to their successful reentry into the community. In some states, correctional agencies have partnered with Medicaid agencies to implement procedures to begin the Medicaid application process as individuals are nearing their incarceration release dates. This webinar features three states—Colorado, New Mexico and Wisconsin—that have initiated efforts to enroll justice-involved individuals in health coverage.
Toolkit: State Strategies to Enroll Justice-Involved Individuals in Health Coverage
/in Policy Toolkits Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement /by Anita Cardwell, Chiara Corso and Sarabeth ZemelUnder the Affordable Care Act (ACA), many individuals involved in the criminal justice system are now eligible for Medicaid, including many young, low-income males who did not previously qualify.
The Healthier Washington Initiative Promotes Accountable Communities of Health Statewide
/in Policy Washington Blogs Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health Equity, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by Taylor KniffinAt a recent NASHP preconference, Improving Health, Lowering Costs: Translating Population Health into Effective State Policy, we heard from Washington State about the innovative work currently underway as part of its Healthier Washington initiative. This panel featured MaryAnne Lindeblad from the Washington Health Care Authority (HCA) and two local perspectives: Patty Hayes, Director of Public […]
Improving Behavioral Health Access & Integration Using Telehealth & Teleconsultation: A Health Care System for the 21st Century
/in Policy Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Quality and Measurement, Safety Net Providers and Rural Health, Workforce Capacity /by Lesa RairIndividuals with medical and behavioral health comorbidities often receive fragmented care, resulting in higher costs and poorer outcomes. States, the federal government, and providers have all made significant investments to build and expand evidence-based integration models, such as the collaborative care model, to reduce fragmentation and improve care. However, workforce shortages and limited resources may hinder […]
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