Primary Care/Patient-Centered/Health Home
FEATURED ARTICLE
Determining the Impact of State Demonstrations: Considerations for State and Federal Policymakers
/in Policy Texas Reports Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHPStates and the federal government are investing heavily in state demonstrations to reform the health care delivery system, and policymakers need data to assess the demonstrations’ effectiveness and justify these investments to state legislators, Congress, and other stakeholders. Gauging the impact of state demonstrations through monitoring and evaluation requires time and effort from both state and […]
What’s Next for State Health Policy After King v. Burwell?
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPLeaders Discuss Key Themes and Next Steps for State Policymakers The National Academy for State Health Policy hosted an off-the-record, state-only summit to discuss the road ahead for state health reforms after the Supreme Court’s decision on King v. Burwell. The event, supported by The Commonwealth Fund, featured a panel of leading thinkers on state […]
Leveraging Public-Private Partnerships to Achieve Multi-Payer Payment Reform
/in Policy Michigan Webinars Blending and Braiding Funding, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home /by NASHPDuring this webinar, we examined how an existing private medical home program in Michigan was leveraged to develop a statewide medical home initiative. Chris Koller provided an overview of common approaches states have taken to engage multiple payers in reform efforts. Speakers from both Michigan state and Michigan Blue Cross Blue Shield (BCBS) discussed Michigan’s approach to utilizing partnerships and ongoing work of BCBS in the state to develop its patient-centered medical home initiative.
Rhode Island – Medical Homes
/in Policy Rhode Island Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesIn July 2011, Rhode Island enacted the Rhode Island All-Payer Patient Centered Medical Home Act (P.L. 2011, ch. 260). The legislation requires the participation of state-regulated health insurers going forward in a PCMH collaborative. In addition, the Medical Home Act elevated the Rhode Island Executive Office of Health and Human Services to the position of co-convener. […]
Kansas – Medical Homes
/in Policy Kansas Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesIn 2007, the Kansas Health Policy Authority (KHPA) (now known as the Kansas Division of Health Care Finance) delivered a comprehensive health reform plan to the Legislature and the Governor intended to improve health in Kansas. A key component of the plan was promotion of the medical home model. In 2008, Kansas lawmakers demonstrated support […]
State Experiences Designing and Implementing Medicaid Delivery System Reform Incentive Payment (DSRIP) Pools
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, State Insurance Marketplaces /by Neva KayeSeveral states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]
Transition Team Bridge Inpatient to Outpatient Mental Health Services for Complex Mentally Ill
/in Policy Oregon Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home /by Mary TakachIn my previous “Walkabout Medical Home” blog posts I have highlighted the work Primary Health Care Organizations (PHCOs) in Australia (Medicare Locals) have done to connect people with mild to moderate mental health diagnoses to primary care or community-based services. This blog highlights the innovative work being done stateside by Oregon’s Health Share. Health Share […]
Conducting the Orchestra of Multi-Payer Payment Reform: Achieving Harmony in Arkansas and Vermont
/in Policy Arkansas, Vermont Blogs Care Coordination, Chronic and Complex Populations, Community Health Workers, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP, Tess Shiras and Anne GauthierImagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]
Community Health Worker Models in Evolving State Health Care Systems
/in Policy Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by Jackie LeGrandCommunity health workers (CHWs) are often employed to improve health equity, cultural competency, health literacy and access to care, among other issues. Because they have such varied roles, there are many definitions of CHWs; however, they are commonly identified by their in-depth understanding of the population they serve. On a recent State Refor(u)m webinar, speakers […]
Community Health Worker Models in Evolving State Health Care Systems
/in Policy Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Long-Term Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home /by NASHP and Jackie LeGrandCommunity health workers (CHWs) are often employed to improve health equity, cultural competency, health literacy and access to care, among other issues. Because they have such varied roles, there are many definitions of CHWs; however, they are commonly identified by their in-depth understanding of the population they serve. On a recent State Refor(u)m webinar, speakers […]

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 Community Health Worker Models
/in Community Health Workers Featured News Home, Maps Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home Community Health Workers /by NASHP Staff