Payment and Delivery Reform
FEATURED ARTICLE
Reducing Racial and Ethnic Disparities Through Health Care Reform: State Experience
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Population Health /by NASHP and Denise OsbornThe Patient Protection and Affordable Care Act of 2010 (ACA) provides an opportunity for states to reduce racial and ethnic disparities in health and health care. As states roll out health care reform implementation, they can use disparities data to inform their actions. This issue brief was prepared by NASHP for the Agency for Healthcare […]
NASHP Report: Health IT, Quality Reporting and Medicaid Well Child Benefits: An Assessment of Progress and Potential in the District of Columbia
/in Policy Reports Cost, Payment, and Delivery Reform /by Lynn DierkerRecent developments indicate the emergence of a national framework for quality oversight and improvement in children’s health. Concurrently, investment in health information technology and exchange is creating state HIT/HIE infrastructure based on EHR-driven clinical data capacity. This report, commissioned by the United States District Court for the District of Columbia, details the opportunities available to […]
New Tactics for Building Medical Homes in State Medicaid and CHIP Programs
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP StaffFor the past year, the National Academy for State Health Policy (NASHP) has worked with a group of eight states (Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia) to develop medical home programs. Over the past 12 months, these eight states, referred to as the Medical Homes II Consortium, have made strides toward this […]
State Innovations to Transform and Link Small Practices
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP StaffFederal and state governments play a significant role in strengthening the delivery of primary care, however current efforts have disproportionally been focused on large or multi-specialty practices. This report examines the roles states are playing to reorganize the delivery of primary and chronic care to produce more efficient and effective care, particularly in small practices. Through […]
Making Connections: Medicaid, CHIP, and Title V Working Together on State Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP StaffThe medical home model–an approach to offering excellent primary care–is gaining momentum. A wide range of stakeholders are now embracing medical homes, and the Affordable Care Act has dedicated resources to developing and spreading the model. In this context, states have been leaders in building medical homes – especially for vulnerable populations. Several of the […]
Evaluating the Patient-Centered Medical Home: Potential and Limitations of Claims-Based Data
/in Policy Reports, Webinars Cost, Payment, and Delivery Reform /by Mary TakachThis State Health Policy Briefing summarizes the advantages and disadvantages of using claims-based data to evaluate patient-centered medical home initiatives. A Medicaid-based medical home initiative in Oklahoma and a multi-payer medical home pilot in Rhode Island are highlighted. Both states are using a mixture of claims-based data and supplementary resources like patient or provider surveys […]
Multi-Payer Payment Reforms in Minnesota and Massachusetts
/in Policy Blogs Cost, Payment, and Delivery Reform /by NASHP StaffMany states were already experimenting with health reform even before the federal legislation passed. Learn how Minnesota and Massachusetts have taken significant steps toward multi-payer healthcare delivery reform, cost control, and improving the value of health care services. A presentation titled “Reforming Health Care Delivery Through Payment Change and Transparency: Innovations in Minnesota and Massachusetts,” […]
A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
/in Policy Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by Mary TakachIntegrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients’ physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a […]
Evaluating the Patient-Centered Medical Home: Potential and Limitations of Claims-Based Data
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHP StaffIn order for states to sustain support for medical home projects, they will need to show results. Do these projects improve care and contain costs? Can claims-based Medicaid data provide answers to these questions? Hear about the pros and cons of using claims-based data as well as other sources of Medicaid data to evaluate medical […]
Payment Options to Support Medical Homes: Theory and Practice
/in Policy Webinars Cost, Payment, and Delivery Reform /by NASHP StaffThis webcast will explore payment options for states to consider as they plan their medical home initiatives. Robert Berenson, MD, Institute Fellow from the Urban Institute, will discuss a range of payment options to support the patient centered medical home and will explore the conceptual advantages and disadvantages of each model. Mary Takach, MPH, RN, […]

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