Payment and Delivery Reform
FEATURED ARTICLE
Montana – Medical Homes
/in Policy Montana Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesLed by the state’s Commissioner of Securities and Insurance, Montana announced the launch of a voluntary statewide multipayer medical home initiative in March 2014. The Montana Patient-Centered Medical Home Program includes participation by Montana Medicaid and three commercial health plans: Allegiance Benefit Plan Management, Inc.; Blue Cross Blue Shield of Montana; and PacificSource Health Plans. […]
Bang for Your Prevention Bucks: Massachusetts’ Model to Maximize Health Care Savings
/in Policy Massachusetts Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by NASHP and Ledia TaborThe Massachusetts Prevention and Wellness Trust Fund (PWTF) is a unique state model that supports community-based partnerships, including municipalities, healthcare systems, businesses, regional planning organizations, and schools, to work together to provide research-based interventions that will improve health outcomes and reduce costs. In 2012, the PWTF was established through the state’s health care cost-containment legislation, […]
Bang for Your Prevention Bucks: Massachusetts’ Model to Maximize Health Care Savings
/in Policy Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Population Health, Social Determinants of Health /by Ledia Tabor and Taylor KniffinThe Massachusetts Prevention and Wellness Trust Fund (PWTF) is a unique state model that supports community-based partnerships, including municipalities, healthcare systems, businesses, regional planning organizations, and schools, to work together to provide research-based interventions that will improve health outcomes and reduce costs. In 2012, the PWTF was established through the state’s health care cost-containment legislation, […]
Quality & Performance Measurement
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement /by NASHPQuality and performance measurement is key to improving value in the health care system, because you cannot improve what you cannot measure. NASHP realizes the importance of quality and performance measurement and strives to provide states with best practices in quality and performance measurement so that states can achieve their ultimate goal of improving population health. We have […]
Payment Reform
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPMany states are developing and implementing payment reform initiatives to help improve the patient experience and the health of populations while lowering the costs of care. Payment reform efforts involve a transition away from fee-for-service (FFS) payment mechanisms that reward high volume to alternative payment methods that reward value. Such payment models include shared savings, […]
HCCI and NASHP Announce State Health Policy Grant Recipients
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPFor Immediate Release: March 5, 2015 Contact: For HCCI: Maya Brod, 301-280-5757 mbrod@burness.com For NASHP: Lesa Rair, 202-903-2785 lrair@oldsite.nashp.org Research teams will analyze how states are implementing health system reforms The Health Care Cost Institute (HCCI) and the National Academy for State Health Policy (NASHP) have announced the recipients of the State Health Policy Grant […]
The Promise and Pitfalls of State-Based Payment Reform
/in Policy Webinars Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHPFriday, February 27, 2015: Many states across the nation are in the process of designing and implementing multi-payer payment reform initiatives. The goals of these initiatives are to improve patient experience, improve the health of populations, and reduce health care costs. This webinar addresses how current payment reform models can help fix our broken health care delivery system and assist states to achieve the Triple Aim. However, along the payment transformation journey, are there potential pitfalls of payment reform models that states should look out for and avoid?
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy 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, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by NASHP*Chart updated March 6, 2015 The 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 […]
Pilots in Colorado and Western Australia Integrate Paramedics into Care Team
/in Policy Colorado Blogs Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs /by NASHP and Mary TakachWalkabout Medical Homes with Mary Takach: A 10-month Study of Australia February 2015 Reducing inappropriate utilization of the emergency department (ED) is a very common focus of health systems, payers, and practices seeking to improve health care quality and reduce costs. To help break the cycle of non-emergency ED use lists of “superutilizers” are generated […]
Integrating Community Health Worker Models into Evolving State Health Care Systems
/in Policy Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Medicaid Managed Care, Palliative Care, Population Health /by NASHPMonday, February 23, 2015 Moderator: CDR Thomas Pryor United States Public Health Service, Center for Medicare & Medicaid Innovation Project Officer Presenters: Gail Hirsch Director, Office of Community Health Workers, Massachusetts Department of Public Health Kari Armijo Health Care Reform Manager, Medical Assistance Division, New Mexico Human Services Department Allie Gayheart Manager of Health Initiatives, […]

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