Payment and Delivery Reform
FEATURED ARTICLE
Ensuring Bright Futures for Our Nation’s Children: Health Plan Strategies for Improving Pediatric Preventive Care
/in Policy Webinars CHIP, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, State Insurance Marketplaces /by NASHPEach year millions of children miss immunizations, screenings and well visits despite the lifelong benefits of preventive care in childhood. The Affordable Care Act expands coverage of all preventive services recommended by the American Academy of Pediatrics in the Bright Futures guidelines. Yet a recent survey found that 57 percent of families are still unaware that these benefits are available free of charge through their health plans. This webinar explores private and public health plan strategies for improving parental education on preventive care and supporting and encouraging providers in ensuring their young patients receive recommended preventive services.
Health Reform Hub Maps and Charts
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHP WritersHealth Reform Hub Blog Posts
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHP WritersFive Strategies for More Effective Assessments of State Demonstrations
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by Policy AssociateWhat are state and federal policymakers looking for when they invest[i] in state health care demonstration projects? Results. Policymakers need evaluation data to justify investments to legislators and other stakeholders, and to accurately assess the effectiveness of the demonstrations. However, gauging the impact of state demonstrations through monitoring and evaluation requires a great deal of […]
Determining the Impact of State Demonstrations: Considerations for State and Federal Policymakers
/in Policy Texas Reports Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHPStates and the federal government are investing heavily in state demonstrations to reform the health care delivery system, and policymakers need data to assess the demonstrations’ effectiveness and justify these investments to state legislators, Congress, and other stakeholders. Gauging the impact of state demonstrations through monitoring and evaluation requires time and effort from both state and […]
What’s Next for State Health Policy After King v. Burwell?
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPLeaders Discuss Key Themes and Next Steps for State Policymakers The National Academy for State Health Policy hosted an off-the-record, state-only summit to discuss the road ahead for state health reforms after the Supreme Court’s decision on King v. Burwell. The event, supported by The Commonwealth Fund, featured a panel of leading thinkers on state […]
Happy Anniversary Medicaid – Remarks from Trish Riley
/in Policy Blogs Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care /by Lesa Rair and Lesa RairLast month, as part of an Academy Health Annual Research Meeting panel on the 50th anniversary of Medicaid, NASHP Executive Director Trish Riley gave remarks on the history of the program, as well as addressed where it is heading and the long-term relationship between Medicaid and the states. Read the entire speech here.
Leveraging Public-Private Partnerships to Achieve Multi-Payer Payment Reform
/in Policy Michigan Webinars Blending and Braiding Funding, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home /by NASHPDuring this webinar, we examined how an existing private medical home program in Michigan was leveraged to develop a statewide medical home initiative. Chris Koller provided an overview of common approaches states have taken to engage multiple payers in reform efforts. Speakers from both Michigan state and Michigan Blue Cross Blue Shield (BCBS) discussed Michigan’s approach to utilizing partnerships and ongoing work of BCBS in the state to develop its patient-centered medical home initiative.
Vermont Gets its Day in Court on ERISA: Supreme Court Agrees to Hear Gobeille v. Liberty Mutual Next Term
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, Value-Based Purchasing /by NASHP and Alice WeissThe Supreme Court granted certiorari in Gobeille v. Liberty Mutual, a case brought by Vermont challenging the Second Circuit Court of Appeals’ ruling on ERISA preemption that bars the state from requiring self-insured employer-sponsored health plans to submit claims data to Vermont’s all-payer claims database (APCD). In doing so, the Supreme Court is providing Vermont […]
Rhode Island – Medical Homes
/in Policy Rhode Island Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesIn July 2011, Rhode Island enacted the Rhode Island All-Payer Patient Centered Medical Home Act (P.L. 2011, ch. 260). The legislation requires the participation of state-regulated health insurers going forward in a PCMH collaborative. In addition, the Medical Home Act elevated the Rhode Island Executive Office of Health and Human Services to the position of co-convener. […]
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