Payment and Delivery Reform
FEATURED ARTICLE
Identification and Assessment of Children and Youth with Special Health Care Needs in Medicaid Managed Care: Approaches from Three States
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP, Julien Nagarajan and Joanne JeeIncreasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]
Accountable Care as a Strategy for Achieving Population Health Goals
/in Policy Webinars Cost, Payment, and Delivery Reform, Population Health /by NASHPAs states seek to improve quality of care and health outcomes while reducing costs, many have turned to accountable care models. One key aspect of accountable care models is that organizations or structures assume responsibility for the care and outcomes of a defined population across a continuum of care and across different parts of the […]
Reporting and Data Collection
/in Policy Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHPStates and the Federal Government collect a variety of data on Medicaid services delivery to children and adolescents. These data are used for program evaluation, managing relationships with Medicaid managed care organizations (MCOs) that serve children, and measuring and improving the quality of services available to children. This section describes data collection initiatives in states, […]
Aligning Federal and State Approaches to Integrating Primary Care and Community Resources
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPTexas – Medical Homes
/in Policy Texas Cost, Payment, and Delivery Reform /by Medical HomesThe Texas Medical Home Work Group has been meeting regularly for more than three years. This group, convened by the Texas Department of State Health Services, exists to, “to enhance the development of Medical Homes within the primary care setting.” Several state agencies are represented in the group, as are a wide range of stakeholders. The group serves as a […]
North Carolina's IMPaCT Initiative: Enhancing Primary Care Practice Support
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThrough the Infrastructure for Maintaining Primary Care Transformation (IMPaCT) initiative, North Carolina launched two learning collaboratives to enhance its existing infrastructure for primary care practice support. North Carolina is one of four lead IMPaCT states that have expanded, evaluated, and shared their efforts to transform primary care practices. This issue brief summarizes key strategies, results […]
Making an IMPaCT: State Models for Primary Care Transformation
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPThe national IMPaCT project supported North Carolina as one of four leading states in the field of practice transformation and primary care extension. Through IMPaCT, North Carolina partnered with four other states (Idaho, Maryland, Montana, West Virginia) to disseminate its primary care practice transformation strategies. Together these states formed the North Carolina IMPaCT Learning Community, […]
Lessons in Primary Care Extension from Four States
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHPBy Larry Hinkle October 2013 Many states are testing primary care extension as a strategy for supporting continuous quality improvement in practice. Primary care extension is based on the model of the Agricultural Extension Service. In health care this model applies scientific research and new knowledge to practices through provider education – often led […]
Building Infrastructure to Promote Primary Care Transformation: Lessons from a Four-State Learning Community
/in Policy Idaho, Maryland, North Carolina Reports Cost, Payment, and Delivery Reform /by NASHP and Larry HinkleAs part of the Agency for Healthcare Research and Quality (AHRQ)’s Infrastructure for Maintaining Primary Care Transformation initiative, NASHP worked with four states (Idaho, Maryland, Montana, and West Virginia) that sought to adapt aspects of North Carolina’s nationally recognized model of primary care practice transformation. This report summarizes the value of primary care transformation for […]
Five Key Strategies to Engage Health Care Payers and Purchasers in a Multi-Payer Medical Home Initiative
/in Policy Reports Cost, Payment, and Delivery Reform /by Mary TakachOne of the most critical steps in developing and implementing a multi-payer medical home initiative is securing health care payer and purchaser participation. This new NASHP brief discusses five overarching strategies that conveners can use to make the case: building trust among competitors; leveraging existing infrastructure; using the market to drive demand; striking the balance […]

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