Payment and Delivery Reform
FEATURED ARTICLE
Top 5 Themes We Saw Emerge From #NASHPCONF15
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, Health System Costs, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, State Insurance Marketplaces /by NASHPState health policy leaders from all 50 states and the District of Columbia converged in Dallas for our largest-ever annual conference. Packed sessions and hallway conversations had the place abuzz with ideas and challenges as states move ahead with system-changing reforms. Without the brainpower of our members and attendees identifying key issues and best practices […]
Health Centers’ Role in Affordable Care Act Outreach and Enrollment: Experience from Kentucky and Montana
/in Policy Kentucky, Montana 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, Primary Care/Patient-Centered/Health Home, Safety Net Providers and Rural Health, State Insurance Marketplaces /by NASHP, Najeia Mention and Alice WeissThe Affordable Care Act created new opportunities for health centers and primary care associations (PCA) to play a leading role in supporting outreach and enrollment into new and expanded health coverage programs. Health centers and PCAs received new funding, sometimes from multiple state and federal entities, new training and tools, and a new mandate to find and […]
Conference Presentations 2015
/in Policy Annual Conference Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Medicaid Managed Care, Palliative Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHPPreconference First Name Last Name Presentation Finding Shared Solutions Across Mental Health, Substance Use Disorders, and Medicaid to Promote Recovery Tamara Sale Sale.precon.prevention.pdf Finding Shared Solutions Across Mental Health, Substance Use Disorders, and Medicaid to Promote Recovery Tom Betlach Betlach.precon.health reform.pdf Finding Shared Solutions Across Mental Health, Substance Use Disorders, and Medicaid to Promote Recovery […]
Money Talks: How SIM Round 1 States Are Reducing Costs
/in Policy Massachusetts, Oregon Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHP and Ledia TaborAs U.S. health care spending continues to grow every year, the State Innovation Model (SIM), a first-of-its-kind grant that provides a large federal investment to state-led health care reform, aims to address the Triple Aim to improve care, improve population health, and reduce health care costs. Since 2013, six Round 1 test states have been […]
Leveraging State Resources to Create a Culture of Health
/in Policy Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Medicaid Managed Care, Population Health, Social Determinants of Health /by NASHP WritersFrom Alaska to Vermont, there is broad recognition across states that improving health and lowering costs requires policymakers to build links between initiatives aimed at reforming the delivery system and those that address factors outside of traditional health care that extend to work, family, and community life. Implementing this vision challenges states to find new approaches […]
Beyond Medicaid: Critical Roles for Public Health, Insurance, and States in Fostering Multi-Payer Payment Reform
/in Policy Webinars Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPIntegrating Maternal and Child Health Data Systems
/in Policy Reports Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPWhat happens when state health programs use separate data systems to serve the same population, such as mothers and children? State policymakers know that when those data systems do not “talk” to one another, states may waste resources on duplicative data entry and system maintenance; providers and state agencies may struggle to access information important […]
Oregon’s Bridge to Value-Based Payments for Community Health Centers: A Win for Medicaid, Providers, & Patients
/in Policy Oregon Blogs Accountable Health, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing /by Mary Takach and Ledia TaborStates are developing new ways to pay Medicaid providers based on quality and efficiency over number of visits. However, these payment options can present challenges for states in integrating safety net providers into their efforts. In Oregon, Medicaid and the state’s Primary Care Association (PCA) have embarked on an alternative payment model that is breaking […]
New NASHP Learning Collaborative From Engagement to Evidence: Using PCOR and CER to Inform State Policymaking
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPRequest for Applications NASHP is excited to announce a new learning collaborative for states seeking to develop or enhance processes for evidence-based health policymaking with a specific focus on using patient-centered outcomes research (PCOR) and comparative effectiveness research (CER). This project, with support from the Patient Centered Outcomes Research Institute (PCORI), will convene multi-agency teams […]
Frequently Asked Questions: NASHP Learning Collaborative (2015-2017) Request for Applications From Engagement to Evidence: Using PCOR and CER to Inform State Policymaking
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHPQ: Are copies of the informational webinar slides available? A: Yes, the slides and a recording of the webinar are available on the Request for Applications homepage. Q: Can I select a specific topic or issue (e.g. suicide prevention) for the organizing focus of this effort or is this intended to be more a general […]
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