Payment and Delivery Reform
FEATURED ARTICLE
School-Based Health Care for Adults, Too
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHPBy Andy Snyder September 2013 It’s the start of the school year, and some school-based health centers (SBHCs) are busy providing health services not just to students, but to adults as well. The School-Based Health Alliance reports that the number of school-based health centers that provide care to students’ families, school faculty, and the wider […]
A Medical Home Framework for Increasing Cervical Cancer Screening Rates: Best Practices for FQHCs
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThrough regular screening cervical cancer is a highly preventable disease, yet thousands of women are newly diagnosed with the cancer each year. This brief features best practices from 14 FQHCs across 7 states that have made significant strides to reduce the incidence of cervical cancer enabled by adopting core attributes of the patient-centered medical home […]
Federal and State Policy to Promote the Integration of Primary Care and Community Resources
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Mike StanekAround the country, models are emerging to link primary care providers not only to other medical service providers but also to resources and services in the community. This report—the first in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy–highlights relevant policy levers and federal and state […]
Connecting the Two Worlds: States Integrating Primary and Behavioral Health Care
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPAs states pursue payment and delivery reform to yield a more integrated delivery system, stronger connections between primary care and behavioral health care are essential. This webinar will explore challenges and opportunities to building linkages and care models that meet the needs of patients with physical and behavioral health care needs. It will also examine […]
Blazing the Trail into the Digital Age
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHPBy Barbara Wirth August 2013 Information drives change, and, in today’s digital age, the transformation of the health care system is increasingly linked to the use of health information technology (HIT). The days of hand-written notes, manual chart reviews and paper bills sent to payers by a health care provider practice are all but […]
Payment and Delivery System Reform: It's All About the Data, States!
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPFor states and their partners seeking a better integrated delivery system through multipayer reform initiatives, effective use of data is the foundation, the “building” itself, and roof above. Easier envisioned than done, data can help participants in multi-payer initiatives offer constructive feedback on performance to providers, distribute rewards in value-based payment systems, and hold system […]
State Strategies to Expand Access to Care Through Safety Net Providers
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPSafety net providers can be valuable partners for states looking for ways to expand access to individuals newly eligible for coverage under the ACA. Join New Hampshire Medicaid Director Katie Dunn for this 60-minute webinar which will share findings from a new NASHP report and feature speakers from an innovative Los Angeles school-based health center […]
Health Care Price Transparency: Lessons from Three High Performing States
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPNational media in recent months have featured the high and variable costs of common health care services. In this webinar you’ll hear from leaders in Virginia, Massachusetts, and New Hampshire on what they’ve done to address the issue and improve price transparency. In a recent report, Catalyst for Payment Reform (CPR) and the Health Care Incentives Improvement […]
A Vision for Quality Data Infrastructure to Support Health System Transformation
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP and Abigail AronsState, federal, and private agencies are investing significant resources in patient-centered, value-based health care transformation-including billions to states through CMS’s State Innovations Models initiative (SIM). This brief describes key elements of a quality data infrastructure necessary to support this transformation by providing payers, providers, and stakeholders access to reliable and comprehensive data for robust measurement, […]
Care Management for Medicaid Enrollees Through Community Health Teams
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachThe effective management of patients’ complex illnesses across providers, settings, and systems places extraordinary demands on primary care providers, especially those that work in resource-limited small or rural practices. Medicaid programs in some states have adopted strategies to build practice capacity to care for high-need Medicaid beneficiaries through the development of local community health teams, […]

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