Payment and Delivery Reform
FEATURED ARTICLE
The Role of Federally Qualified Health Centers in State-led Medical Home Collaboratives
/in Policy Webinars Cost, Payment, and Delivery Reform /by Mary TakachThe medical home is a model of care that is taking root in both public and private payer programs in an effort to improve quality, control costs, and increase both patient and provider satisfaction. Since 2006, more than 30 states have been leading efforts to advance medical homes in their Medicaid and Children’s Health Insurance […]
Collaborating with Health Centers to Leverage HIT for System Improvement
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffThis webinar explored ways in which state agencies and Federally Qualified Health Centers (FQHCs) can work together to utilize the health information technology (HIT) and health information exchange (HIE) funding opportunities in the American Recovery and Reinvestment Act (ARRA) to achieve mutual goals for health system improvements. The webinar offered an overview of the federal […]
ABCD III Using Data Integration and Information Technology to Improve Care Coordination for Young Children
/in Policy Webinars Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHP StaffCare coordination can link children to the continuum of health services (from the primary care medical home to subspecialty services) and other needed community services (early care and education, early intervention, and family support). Data integration and health information technology and exchange can help improve communication and linkages among various kinds of providers and with […]
A State Policymakers’ Guide to Federal Health Reform – Part I: Anticipating How Federal Health Reform will Affect State Roles
/in Policy Reports Cost, Payment, and Delivery Reform, Maternal, Child, and Adolescent Health /by Diane JusticeMany critical aspects of federal health reform will be implemented by the states. Through program design, regulations, policies and practices, state decisions and actions already play a profound role in shaping the American health care system. Both the House and Senate reform proposals would dramatically change the federal structure within which state health policy operates. […]
Supporting State Policymakers’ Implementation of Federal Health Reform
/in Policy Reports Cost, Payment, and Delivery Reform, Maternal, Child, and Adolescent Health /by NASHP StaffStates will have enormous short-term and long-term needs for assistance as they grapple with federal health reform legislation. Significant federal and private resources to support state-level implementation will be necessary. Implementation support must be defined and coordinated quickly. Technical assistance must be provided in a manner that corresponds with state needs. State officials should be […]
The National Research Council/Institute of Medicine’s Adolescent Health Services: Highlights and Considerations for State Health Policymakers
/in Policy Reports Cost, Payment, and Delivery Reform /by NASHP StaffIn May 2006, the National Research Council/Institute of Medicine’s (NRC/IOM’s) Board on Children, Youth and Families (BCYF) convened the Committee on Adolescent Health Care Services and Models of Care for Treatment, Prevention, and Healthy Development. With funding from The Atlantic Philanthropies, the committee conducted a study of health services for adolescents ages 10-19 in the […]
Supporting Practices
/in Policy Cost, Payment, and Delivery Reform /by Medical HomesSupporting practices to help advance patient-centered care. Alabama Patient Care Networks of Alabama (PCNA), and ACA Section 2703 Health Homes: Alabama has launched four patient care networks run by Patient Care Networks of Alabama (PCNA) in select counties to support primary medical providers (PMPs), with services including: Quality improvement; Pharmacy assistance; Care management for high-risk and high-needs patients; and […]
Aligning Reimbursement & Purchasing
/in Policy Cost, Payment, and Delivery Reform /by Medical HomesSupports and rewards practices which meet performance expectations. Alabama Patient Care Networks of Alabama (PCNA) and ACA Section 2703 Health Homes: Alabama began a staggered launch of four PCNAs beginning in August 2011, offering up to $50,000 in reimbursement for start-up costs and $3.00 PMPM for enrollees and $5.00 for enrollees who are aged, blind or disabled (ABD).Following […]
Defining & Recognizing a Medical Home
/in Policy Cost, Payment, and Delivery Reform /by Medical HomesMedical Homes help establish provider expectations and implement processes to recognize primary care practices that meet those expectations. Alabama Recognition: ACA Section 2703 Health Homes: Alabama Medicaid does not require formal recognition or certification for health home providers. Health home providers requirements are aligned with requirements for primary medical providers (PMPs) within the Patient 1st and Patient […]
Leveraging National Health Information Technology Initiatives to Transform Health Care Delivery (Part I & Part II)
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffThe federal government is making a huge investment in health information technology (HIT) – one that offers states an important role in ensuring that it pays off in improved delivery of health care. In the morning, participants will learn about these new federal initiatives and have an opportunity to discuss them with representatives of the […]

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