Payment and Delivery Reform
FEATURED ARTICLE
A Day in the Life of Nurse Planner Joan Kindt in the Minnesota Health Care Home Program
/in Policy Minnesota Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Workforce Capacity /by NASHP StaffHealth care reform goals established by the Minnesota Legislature call for all Minnesotans to have access to patient-centered care, accessible, comprehensive, and coordinated primary care. The HCH program is the path to these goals. Becoming a health care home (HCH) in Minnesota means adopting “an approach to primary care in which primary care providers, families, […]
Transforming the Workforce to Provide Better Care: The Role of Nurses in Certifying Minnesota Health Care Homes
/in Policy Minnesota Reports Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Workforce Capacity /by Mary TakachPart 4 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Minnesota Health Care Homes (HCH), a patient-centered medical home initiative, utilizes regionally-based nurse planners to ensure that HCH practices are meeting specific standards of care that aim to foster […]
A Day in the Life of Behavioral Health Nurse Care Coordinator Amber Morgan of Hennepin Health
/in Policy Minnesota Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by NASHP StaffCaring for the health care needs of vulnerable populations has inherent challenges. Doing this in an accountable care organization (ACO), where providers bear financial risk for meeting cost, quality, and patient satisfaction metrics, intensifies the challenges. When Hennepin Health launched in 2012 to serve as a safety-net ACO for Minnesota’s early Medicaid expansion population, it […]
Opportunities for Enrolling Justice-Involved Individuals in Medicaid
/in Policy Behavioral/Mental Health and SUD, 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, Safety Net Providers and Rural Health /by Anita CardwellHealth insurance options now available through the Affordable Care Act (ACA) offer new opportunities to enroll individuals involved in the criminal justice system into coverage. In states that have expanded Medicaid, many newly eligible will be young, low-income males, some with involvement with the criminal justice system. Justice-involved individuals especially could benefit from coverage as […]
Transforming the Workforce to Provide Better Chronic Care: The Role of a Behavioral Health Nurse Care Coordinator in Minnesota
/in Policy Minnesota Reports 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 Coverage and Access, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by Mary TakachPart 3 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Hennepin Health, a safety-net accountable care organization in Minnesota, has begun to integrate primary care into Hennepin County Mental Health Center through a behavioral health nurse care coordinator. The […]
The Affordable Care Act: Affording Two-Generation Approaches to Health
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by Alan Weil and Shayla RegmiThis publication offers the first comprehensive look at the opportunities in the Affordable Care Act (ACA) to drive better outcomes for children and parents together.
Organizing Delivery Systems to Better Support Primary Care: What Can States in the US Learn From and Share With Australia?
/in Policy Blogs Cost, Payment, and Delivery Reform /by Mary TakachWalkabout Medical Homes with Mary Takach: A 10-month Study of Australia September 2014 What can states with large frontier areas such as Alaska, Texas, Montana, and Arizona learn from how Australia organizes and supports primary care delivery in its vast outback? What do publicly financed community-based teams, networks, and organizations found in states including Vermont, […]
State Strategies for Improving Maternal and Infant Care
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHPLow birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as […]
Transforming the Workforce to Provide Better Chronic Care: The Role of Nurse Care Managers in Rhode Island
/in Policy Rhode Island Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachPart 1 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Chronic illnesses are responsible for more than three-quarters of health care spending and 7 out of 10 deaths in the United States—and nearly half of all Americans have at […]
Leveraging Multiple State Data Sources to Drive Improvement in Population Health Outcomes
/in Policy Webinars Cost, Payment, and Delivery Reform, Population Health /by NASHPThursday, July 10, 2014: This webinar features an overview of state opportunities to identify and use data from a variety of sources to examine subpopulations, identify needs, and target interventions to address the needs of distinct populations. The webinar also features a discussion among three states that have taken innovative approaches to using data to drive meaningful changes in health outcomes for various subpopulations with critical needs.

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