Payment and Delivery Reform
FEATURED ARTICLE
Supporting Healthy Child Development through Medical Homes: Strategies from ABCD III States
/in Policy Reports Cost, Payment, and Delivery Reform, Maternal, Child, and Adolescent Health /by NASHP StaffThrough Assuring Better Child Health and Development (ABCD) III, Arkansas, Illinois, Minnesota, Oklahoma, and Oregon have developed and tested models to improve care coordination for children with or at risk of developmental delay. The medical home has been a key mechanism in their improvement efforts. This brief draws from these states’ experiences to outline opportunities […]
Aligning Health Information Technology and Delivery System Transformation Efforts: Themes from a Discussion Among State and National Leaders.
/in Policy Reports Cost, Payment, and Delivery Reform /by Anne Gauthier and Abigail AronsThis State Health Policy Brief captures the main themes of an April 2012 meeting of state and national leaders to discuss their vision for a future in which delivery system transformation capitalizes on the true potential of technology to improve the health care system. It includes a description of challenges leaders identified across four dimensions […]
Issues and Policy Options in Sustaining a Safety Net Infrastructure to Meet the Health Care Needs of Vulnerable Populations
/in Policy Reports Cost, Payment, and Delivery Reform /by Catherine HessAs a result of large-scale changes in insurance coverage under the Affordable Care Act (ACA), financing streams for safety net providers will shift. The law provides significant resources for further development of some safety net providers while reducing funding streams for others. The vulnerable populations served by the safety net—poor and underserved communities—may not fundamentally […]
State ‘Accountable Care’ Activity Map
/in Policy Maps Cost, Payment, and Delivery Reform /by NASHP StaffPayment
/in Policy Cost, Payment, and Delivery Reform /by NASHPPayment describes the targeted delivery system (e.g. fee-for-service or managed care) of the initiative and the design of the accountable care payment model. Alabama As described in the 1115 Waiver Concept Paper, this initiative would utilize a payment model that includes capitation with care management payments (the transition period could include fee-for-service). The […]
Including Safety-Net Providers in Integrated Delivery Systems: Issues and Options for Policymakers
/in Policy Reports Cost, Payment, and Delivery Reform /by Catherine Hess and Katharine WitgertHealth care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health […]
Minnesota and Ohio: Advancing Health Equity through Delivery System Reform
/in Policy Blogs Cost, Payment, and Delivery Reform, Population Health /by NASHPBy Carrie Hanlon August 2012 Racial and ethnic minorities disproportionately experience chronic disease, often receive suboptimal quality care and therefore can benefit most from delivery reform initiatives aiming to improve quality and care coordination, particularly for the chronically ill. Through a variety of provisions, the Affordable Care Act (ACA) facilitates state and federal action to […]
State Policymakers’ Guide for Advancing Health Equity through Health Reform Implementation
/in Policy Reports Cost, Payment, and Delivery Reform, Population Health /by NASHP StaffThe Affordable Care Act (ACA) offers states multiple policy levers to improve health status and care for racial and ethnic minority populations through delivery system reforms, public health and community interventions, and insurance coverage, as well as provisions specific to disparities reduction. This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, […]
Developing and Implementing the Section 2703 Health Home State Option: State Strategies to Address Key Issues
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachThe health home state option provides an enticing opportunity for states to better coordinate care for Medicaid enrollees with serious mental illness or chronic health issues. This NASHP report identifies strategies from the first four states with approved state plan amendments (MO, NY, OR, and RI) to address five key considerations that states will likely […]
The North Carolina Healthcare Quality Alliance: Lessons in Aligning Quality Improvement Strategies Statewide
/in Policy Reports Cost, Payment, and Delivery Reform /by Larry HinkleNorth Carolina’s model for primary care redesign, improvement, and infrastructure support has a proven track record of success. A crucial part of this model is coordination of initiatives through the North Carolina Healthcare Quality Alliance (NCHQA), a non-profit organization comprised of private and public partners across North Carolina’s health system. This brief describes NCHQA’s origin […]

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