Payment and Delivery Reform
FEATURED ARTICLE
State Policymakers’ Priorities for Improving the Health System
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffThis State Health Policy Briefing presents the issues identified by NASHP’s state leadership as their most significant priorities for improving their health systems. As Academy members discussed their priorities, a set of broader themes emerged. These larger policy goals are: Connect People to Needed Services; Promote Coordination and Integration in the Health System; Improve Care […]
Building Medical Homes in State Medicaid and CHIP Programs
/in Policy Reports Cost, Payment, and Delivery Reform, Health Coverage and Access /by NASHP StaffWith 47 million uninsured Americans, double digit inflation in medical spending and health outcomes that lag far behind other nations, comprehensive health care reform that addresses access, cost and quality issues is a national priority. A primary care oriented system may have benefits for population health, equity in health and cost containment and has been […]
Making Medicaid Work for the 21st Century: Improving Long-Term Services and Supports
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform /by NASHPOne of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB
SCHIP Family Coverage in Three States: A Report on the Early Experiences of New Jersey, Rhode Island, and Wisconsin
/in Policy Reports Cost, Payment, and Delivery Reform, Maternal, Child, and Adolescent Health /by NASHPThis report discusses findings from site visits made to three states that extended SCHIP coverage to parents, and looks at the early experiences of these states’ programs. The states began covering families through SCHIP under a section 1115 demonstration project. SCHIP_family_coverage.pdf 475.8 KB
SCHIP Delivery Systems
/in Policy Cost, Payment, and Delivery Reform /by NASHPThis State Health Policy Monitor provides an overview of the delivery systems and payment structures states use for their State Children’s Health Insurance Programs (SCHIP). States generally choose from among: • Contractor-based managed care delivery, • Primary care case management (PCCM), and • Traditional fee-for-service arrangements. A NASHP survey in 2005 found that approximately 70 percent of all […]
Reasons and Strategies for Strengthening Childhood Development Services in the Healthcare System
/in Policy Reports Cost, Payment, and Delivery Reform, Maternal, Child, and Adolescent Health /by NASHPThis report summarizes recent research on early brain development, highlights innovative practices in Washington, Kentucky, North Carolina, and California, and offers concrete steps states can take to strengthen early childhood development services. Childhood Development Services 247.2 KB
Using HIT to Transform Health Care: Summary of a Discussion Among State Policy Makers
/in Policy Cost, Payment, and Delivery Reform /by NASHPStates are finding health information technology (HIT) an essential tool in any plan that seeks to improve the efficiency, affordability, safety, and quality of their health care systems. This State Health Policy Briefing is intended to help state policy makers determine what role they will play in HIT development, how their state will use HIT, […]
Maximizing the Use of State Adverse Event Data to Improve Patient Safety, Brief
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffThis news brief reviews key findings from a meeting of state officials that focused on efforts to improve data integrity, event report analysis, and data feedback and dissemination. The report examines these issues and identifies a number of challenges and opportunities that states encounter as they attempt to improve their databases and the usefulness of […]
Improving Quality in Practice: Provider Training
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffThe American Academy of Pediatrics (AAP) policy statement, Identifying Infants and Young Children with Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening, recommends that developmental surveillance be performed at every preventive visit and that a screening tool should be administered at 9-,18-, and 24- or 30-month visits and for those […]
Delivery System Reforms for Chronic and Long Term Care
/in Policy Cost, Payment, and Delivery Reform /by NASHP StaffStates that have been the most successful in transforming their systems of long term services and supports to be primarily provided in the community have tackled reforms on multiple forms. They have streamlined entry in to community services programs to make them as accessible as institutional care; made effective use of technology to help individuals […]

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