Payment and Delivery Reform
FEATURED ARTICLE
Trailblazers' Vision for Quality Data Infrastructure that Enables Care Transformation
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPMulti-payer payment reform. New delivery models. Patient-centered, value-based care. Significant investment–including funding to states through CMS’s State Innovations Models initiative (SIM)—has gone toward transforming care delivery. State officials and key stakeholders seeking to transform health care delivery are invited to learn about a vision for infrastructure necessary to enable this transformation. Speakers will draw on […]
Tooling Up For Multi-Payer System Transformation
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHPBy Sarah Kinsler May 2013 Momentum is building at the state level for multi-payer payment and delivery system transformation. Across the country, states like Maine, Arkansas, and Oregon are partnering with commercial insurers and other stakeholders to pursue Triple Aim goals. NASHP’s new Multi-Payer Resource Center, supported by The Commonwealth Fund, will help them succeed.
Multi-Payer Resource Center
/in Policy Toolkits Cost, Payment, and Delivery Reform /by NASHPPublic-private multi-payer pilots are unique opportunities to support high-performing delivery systems by creating alignment around payment, reporting, and infrastructure investments. Multi-payer projects benefit both payers and providers: Multi-payer projects spread transformation costs among all payers seeking to improve both quality and costs, creating a shared incentive to build essential infrastructure for delivery system improvement. In […]
Developing Infrastructure and Community Linkages
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffStates are key facilitators when it comes to building community infrastructure to support multi-payer pilots, such as information technology, shared practice supports, and behavioral health integration. Also see the Supporting Practices section of NASHP’s Medical Home Map and the Support for Infrastructure section of NASHP’s State Accountable Care Activity Map. Community Care of North […]
Reinventing Medicaid: Innovations To Advance Patient-Centered Care
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHPMary Takach, NASHP Program Director, delivered the presentation titled “Reinventing Medicaid: Innovations To Advance Patient-Centered Care” at the National Investment Center (NIC) 2013 Regional Conference–The Future of Medicaid-Program Prospects and Provider Positioning, San Diego, CA, on March 6, 2013.
Integrated Delivery Systems Toolkit
/in Policy Cost, Payment, and Delivery Reform /by NASHPThe National Academy for State Health Policy (NASHP), with the support of the Kaiser Permanente Community Benefit, is working with states that are well positioned to begin integrating delivery systems and pursuing payment reforms. The work in this area is presented in an Integrated Delivery System (IDS) Toolkit on NASHP’s State Refor(u)m website. The IDS […]
Strategies for Payment Reform in States: Selecting Innovative Models
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPDownload Slides States, in their capacities as payers, purchasers, and regulators, have a key role to play in shifting to payment structures that reward high quality care and reduce the volume incentives inherent in fee-for-service reimbursement. Payment reform, particularly when multiple payers work together, offers the potential not only for promoting value in health […]
Improving Policy
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffThe ABCD experience has demonstrated that Medicaid and other state agencies can play an important role in promoting system and practice level change to improve routine identification of young children with developmental problems. Policy improvements most often occurred when they were an integral part of the work from the start rather than added on later […]
Laying the Groundwork in States for Payment Reform and More Integrated Delivery
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffStates around the country are seeking new approaches to achieving payment and delivery system reform, recognizing that the most powerful approaches will include multiple payers working together and will include new models of care delivery that better integrate providers and services and increase their accountability for defined populations. This webinar will examine how states can […]
Transforming State Systems to Improve Population Health
/in Policy Blogs Cost, Payment, and Delivery Reform, Population Health /by NASHP StaffBy Larry Hinkle December 2012 Many state officials are turning their attention to the most neglected leg of the Triple Aim: improving the health of populations, which along with improving the experience of care, and reducing per capita costs of health care, is essential for system transformation efforts. The critical need to integrate population health […]

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