Payment and Delivery Reform
FEATURED ARTICLE
Shared Resources to Sustain Primary Care Transformation
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Mike StanekPrimary care practices transitioning to enhanced models of primary care require ongoing support to sustain their transformation efforts. Small and medium-sized practices in particular can benefit from shared resources facilitating care coordination and case management, use of data and technology, and ongoing practice improvement. This State Health Policy Briefing outlines key elements of a shared […]
Matching Patients with Their Providers: Lessons on Attribution and Enrollment from Four Multi-Payer Patient-Centered Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Barbara WirthWithin multi-payer medical home initiatives, it is critical to develop and implement attribution and/or enrollment methodologies that assign participating patients to the practice most responsible for managing their care for two important reasons: the numbers of patients assigned to each practice influences the amount of supplemental PCMH payments paid to practices and which patients are […]
Using Consumer Experience Surveys for Quality Improvement in Maine Health Centers
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHPMaine was one of six states selected to participate in NASHP’s Medicaid-Safety Net Learning Collaborative. NASHP helped organize a series of web trainings for Maine’s health centers on using the Consumer Assessment for Healthcare Providers and Systems (CAHPS) patient satisfaction survey for quality improvement and staff training. CAHPS is being used in the state’s expansion […]
Creating the Perfect Storm for Community-Based Prevention
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health /by NASHPby Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions April 2014 The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of […]
National Academy for State Health Policy – Patient-Centered Primary Care Collaborative Webinar — State Innovations: Updates from the Minnesota Health Care Home Initiative
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPThursday, April 17, 2014: Minnesota’s statewide Health Care Home Initiative (HCH), a multi-payer patient-centered medical home program that currently has 322 certified HCHs, recently released its first program evaluation. This webinar provides background on the initiative and highlight the key findings of the 2014 HCH Evaluation Report to the Minnesota State Legislature.
Financing Prevention: How States are Balancing Delivery System & Public Health Roles
/in Policy Reports Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Carla Plaza, Abigail Arons, Jill Rosenthal and Felicia HeiderThis report, developed by the National Academy for State Health Policy and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement […]
IMPaCTing Meaningful Improvements in Primary Care Practice
/in Policy Webinars Cost, Payment, and Delivery Reform, Population Health /by NASHPPrimary care extension programs improve the quality of primary care services by educating providers on new and innovative practices in areas such as preventive medicine, health promotion, and chronic disease management. Section 5405 of the Affordable Care Act authorizes the establishment of a national primary care extension program. To pursue this goal, the Agency for […]
To Align or Not to Align: State Options in Multi-Payer Medical Home Initiatives
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHP StaffSupporting Iowa Rural Provider Capacity Through Community Care Coordination Teams
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachShared community-based teams are a growing trend among states seeking to build provider capacity, especially for small and rural practices. This brief explores Iowa’s path to piloting shared community-based teams, from conception and planning to launch, and offers a framework for policy action for states and other organizations considering leading similar efforts. Iowa was one […]
Quality Measurement to Support Value-Based Purchasing: Aligning Federal and State Efforts
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP and Mike StanekPublic payers are moving to implement payment strategies that reward value in the health care system by linking payment to quality. This report—the third in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights quality measurement strategies underpinning value-based purchasing initiatives at the federal and state […]
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