Payment and Delivery Reform
FEATURED ARTICLE
Massachusetts Takes a Next Step in Health Reform: Addressing Affordability through Value
/in Policy Massachusetts Blogs, Featured News Home Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Total Cost of Care Benchmark, Value-Based Purchasing /by Trish RileyStates are incrementalists – enacting laws, amending them, and building on their successes – and that strategy is clearly visible in Massachusetts Gov. Charlie Baker’s bold and comprehensive legislative proposal, An Act to Improve Health Care by Investing in VALUE, announced last week. Baker’s proposal calls on payers and providers to increase expenditures on primary […]
Q&A: How Maryland Uses Multiple Policy Levers to Improve Health Coverage, Affordability, and Access
/in Policy Maryland Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Expansion, State Insurance Marketplaces /by Christina CousartMaryland has a long history of enacting statewide health reforms and 2019 was no exception with the passage of several significant reforms, including the Maryland Easy Enrollment Health Insurance Program (MEEHP), which passed with bipartisan support and was signed by Gov. Larry Hogan in June. Maryland is also implementing a new value-based plan design for health insurance marketplace plans and […]
State Policy Innovations to Support Family Caregivers
/in The RAISE Act Family Caregiver Resource and Dissemination Center Blogs, Featured News Home Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, State Resources, The RAISE Family Caregiver Resource and Dissemination Center /by Eliza Mette and Kitty PuringtonAs the country ages, states recognize the importance of caregivers and are developing new initiatives to support and sustain their critical role in helping relatives, friends, and neighbors age in place. The recent passage of the Recognize, Assist, Include, Support, and Engage Family Caregivers (RAISE) Act, a federal strategy to support family caregivers, brings new […]
State Insurance Reforms Tackle Price Transparency, Rising Costs, and the Uninsured
/in Policy California, Connecticut, Nevada Blogs, Featured News Home Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health System Costs, State Insurance Marketplaces /by Christina CousartSeptember was a busy time for state insurance regulators as they worked to finalize rate filings and prepare for the upcoming health insurance open enrollment season. While initial filings indicate nominal increases to individual market premiums for the 2020 plan year, insurance costs are escalating for individuals and families who receive coverage through their employers. […]
Nevada Fines Rx Manufacturers $17.4 Million for Failing to Explain Diabetes Medications’ Price Hikes
/in Policy Nevada Blogs, Featured News Home Cost, Payment, and Delivery Reform, Health System Costs, Newly-Enacted Laws, Prescription Drug Pricing, State Rx Legislative Action /by Jennifer ReckLast week, Nevada fined 21 pharmaceutical companies $17.4 million for failing to submit a report explaining recent, significant price hikes to essential diabetes drugs, as required by the state’s drug cost transparency law. Faced with drug price increases far outpacing rates of inflation, states across the country are enacting transparency laws designed to shed light […]
States Explore Emerging Evidence to Learn New, Innovative Uses of Telehealth
/in Policy Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Safety Net Providers and Rural Health, Workforce Capacity /by Johanna Butler and Christina CousartThe National Academy for State Health Policy (NASHP) recently launched the Telehealth Affinity Group, composed of state policymakers, that is examining emerging evidence from the Patient-Centered Outcomes Research Institute (PCORI) into innovative uses of telehealth to transform health care delivery systems in states. State and federal policymakers are eager to explore emerging patient-centered outcomes research […]
Webinar for State Officials Only: Innovations in Medicaid Pharmacy Benefit Management Policies – A Look at Three States
/in Policy Ohio, Washington, West Virginia Webinars Administrative Actions, Cost, Payment, and Delivery Reform, Health System Costs, Prescription Drug Pricing, Quality and Measurement, State Rx Legislative Action, Value-Based Purchasing /by NASHP Staff
Rural Health Clinics
/in Policy Reports Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Safety Net Providers and Rural Health /by NASHP StaffDownload this report. Rural health clinics (RHCs) were established through the Rural Health Clinic Services Act of 1977[i] in order to improve access to non-physician practitioners, such as physician assistants and nurse practitioners, in rural areas that lacked an adequate supply of physicians. Today, there are approximately 4,100 RHCs[ii] in 44 states.[iii] To be eligible […]
State Medicaid Quality Measurement Activities for Women’s Health
/in Medicaid Managed Care Maps Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Equity, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Quality and Measurement, Quality Improvement, Special Populations and Services /by NASHP StaffMinnesota and Indiana Governors Work to Improve Social Equity and Health in Every Zip Code
/in Policy Indiana, Minnesota Blogs CHIP, CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Health System Costs, Healthy Child Development, Housing and Health, Infant Mortality, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Quality and Measurement, Social Determinants of Health /by Elinor HigginsIn their 2019 state of the state speeches, 13 governors addressed social equity, acknowledging that reducing inequities and improving opportunities for all residents improves lives and health outcomes. Two of them — Indiana and Minnesota – offer examples of how states are orchestrating their legislative and administrative efforts to reduce health disparities and promote social […]

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