Payment and Delivery Reform
FEATURED ARTICLE
State Long Term Care Programs At a Glance
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThis report highlights What states have been doing to reduce their expenditures on long term care while maintaining access to needed services. In our analysis of the major strategies employed by the states we found that they fell into several categories: (1) Delivery system activities include strategies to reduce or control the number of nursing […]
Evolving Medical Home Payment Models to Better Support Triple Aim Goals
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPInnovative payment models can support medical homes by decreasing the cost of care, incenting and rewarding quality over quantity, and enabling practices to invest in infrastructure and supports. Many leading states have learned from early initiatives and are moving forward with new payment models that to further drive system goals, including lowered costs, improved quality […]
Engaging the Safety Net in Health Care Reform
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHPFor a copy of the full slide presentation, click here. This webinar summarizes the deliberations and results of NASHP’s National Workgroup on Integrating a Safety Net into Health Care Reform Implementation. Over the course of nearly a year, this group of state and federal officials, national experts and associations, and safety net systems worked to […]
Managed Care for the Elderly: A Profile of Current Initiatives
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPThe purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]
Building Medical Home Neighborhoods through Community-Based Teams: Lessons from Three States with Emerging Programs
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPCommunity-based teams can help medical home providers offer primary care that is coordinated, whole-person oriented, and integrated with local community resources. Nine states are now making payments to community-based practice support teams, and others are exploring possibilities for launching teams in the near future. Webcast attendees will hear from program leaders in Alabama, Michigan, and […]
Shared Decision Making: Advancing Patient-Centered Care through State and Federal Implementation
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP StaffShared decision making (SDM)—a process that engages patients in a dialogue with their providers to help them select health care options that conform to their values and preferences—is receiving increased attention as a tool for improving quality and patient satisfaction, and addressing unwarranted variation in care. Building on NASHP’s analyses of state health system improvement […]
Building Medical Homes: Lessons from Eight States with Emerging Programs
/in Policy Reports Cost, Payment, and Delivery Reform /by Mary TakachStates are seeking to strengthen primary care through the medical home model to achieve better outcomes and lower costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of medical home programs. The states have drawn on both well-tested approaches and […]
State Support for Primary Care Practice Transformation: Replication of the North Carolina Model
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHPThis webcast is an introduction to the new Infrastructure for Maintaining Primary Care Transformation (IMPaCT) initiative in North Carolina, funded by the Agency for Healthcare Research and Quality (AHRQ). It will outline the key components of North Carolina’s primary care practice transformation strategy, their interrelationship, lessons learned, the role of a state level coalition, and […]
States, Primary Care and Health Centers: Fostering Delivery System Changes
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHPNASHP convened a June 2011 forum in Denver, Colorado, that brought together state and federal officials, primary care offices and associations and other key partners to learn from Colorado’s efforts and discuss health centers’ roles and challenges in delivery system reform. This report frames key issues, themes and recommendations that emerged from the forum for […]
Building Electronic Information-Sharing Systems to Support Care Coordination in Illinois
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP and Larry HinkleThis is the first in a series of Assuring Better Child Health and Development (ABCD) III Innovation Briefs. This brief focuses on electronic information-sharing systems that Illinois is building or adapting to improve care coordination for children with or at risk of developmental delays. Illinois is poised to improve care coordination by implementing an electronic […]

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