Payment and Delivery Reform
FEATURED ARTICLE
Oral Health – Evidence and Strategies to Improve Care and Reduce Costs
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Oral Health /by NASHPOral Health and the Triple Aim Toolkit
/in Policy Toolkits Child Oral Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Maternal, Child, and Adolescent Health, Oral Health, Population Health /by NASHPOral health is linked to overall health, and mounting evidence suggests that addressing oral health can help states move toward the Triple Aim goals of improving the patient experience, improving the health of populations, and reducing per-capita health care spending. Poor oral health—including high rates of tooth decay, missing teeth, and gum disease—and inadequate access […]
Making Multipayer Reform Work: What Can Be Learned From Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary Takach and Sarah KinslerMedical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening […]
Building an Equitable Health Care Delivery System: Federal and State Strategies
/in Policy Louisiana, Ohio Webinars Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by NASHPThursday, April 2, 2015: Federal and state policymakers are increasingly focused on addressing health disparities as part of their approach to improving health, improving health care quality, and reducing costs. This webinar discusses aligning payment models, creating new partnerships, and building infrastructure and data systems to achieve health equity. Speakers from Ohio and Louisiana describe their states‘ health equity initiatives and federal programs they are leveraging. An official from the CMS Office of Minority Health describes federal resources to help states advance health equity and opportunities for alignment of federal and state activities.
Achieving a Culture of Health: Governors Weigh In
/in Policy Accountable Health, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Housing and Health, Population Health, Social Determinants of Health /by NASHP and Kaitlin SheedyGovernors hold a unique capacity to help promote a culture of health using the tools of their state governments in purchasing, regulating, and policymaking. In their 2015 State of the State or inaugural addresses, governors referenced a variety of health issues and are recognizing the need for policies to focus more broadly in order to […]
Traveling Medical Home Team Brings Multi-Disciplinary Services to Remote Tasmania
/in Policy Blogs Cost, Payment, and Delivery Reform, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachTasmania, Australia’s only island state, encompasses an area of 26,262 square miles – an area roughly the size of West Virginia – and is home to just over half a million Australians, most of them low income. According to Tasmania Medicare Local CEO Phil Edmondson, “We are the oldest and sickest and most poorly educated […]
Building An Equitable Health Care Delivery System: Considerations For State And Federal Policymakers
/in Policy Reports Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Housing and Health, Population Health, Social Determinants of Health /by NASHPHealth disparities persist in the United States, with disadvantaged groups disproportionately bearing the burden of poor health outcomes and shortened lifespans. States cannot effectively control healthcare costs or improve quality without addressing health disparities. Fortunately, state and federal policymakers can work together to build an equitable health care delivery system by aligning payment models, creating […]
New Brief Outlines State Options Pending Supreme Court Ruling
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, State Insurance Marketplaces /by NASHP, Allison Wils, Alice Weiss and Anne GauthierIn this new issue brief, NASHP identifies considerations and policy options for states pending the outcome of King v. Burwell. A pro-King decision might end federal subsidies provided to individuals in the 34 states that used the Federally-Facilitated Marketplace to enroll in health insurance coverage, impacting about 7.3 million people. Although the outcome of the case is uncertain, states may want to […]
Wyoming – Medical Homes
/in Policy Wyoming Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesWyoming’s 2013 Supplemental Budget included a $300,000 earmark to “[develop] a primary care medical home network in Wyoming.” The Wyoming Department of Health, which administers the state’s Medicaid program, leveraged a $14 million Health Care Innovation Award led by the Wyoming Institute for Population Health to help achieve this goal. The Department of Health allocated […]
Tennessee – Medical Homes
/in Policy Tennessee Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPSince 2008, the Bureau of TennCare (Tennessee’s Medicaid agency) has worked with the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) to advance the medical home model in pediatric practices. In 2012, TNAAP launched the Tennessee Medical Home Project, a three-year education and training initiative to increase providers’ medical home capabilities and capacity to […]

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