Quality and Measurement
FEATURED ARTICLE
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 […]
Don’t Take Your Eyes Off Vermont: Gobeille v. Liberty Mutual Insurance Company
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, State Insurance Marketplaces /by NASHP and Alice WeissOkay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]
Making Multipayer Reform Work: What Can Be Learned From Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary Takach and Sarah KinslerMedical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening […]
Traveling Medical Home Team Brings Multi-Disciplinary Services to Remote Tasmania
/in Policy Blogs Cost, Payment, and Delivery Reform, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachTasmania, Australia’s only island state, encompasses an area of 26,262 square miles – an area roughly the size of West Virginia – and is home to just over half a million Australians, most of them low income. According to Tasmania Medicare Local CEO Phil Edmondson, “We are the oldest and sickest and most poorly educated […]
Wyoming – Medical Homes
/in Policy Wyoming Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesWyoming’s 2013 Supplemental Budget included a $300,000 earmark to “[develop] a primary care medical home network in Wyoming.” The Wyoming Department of Health, which administers the state’s Medicaid program, leveraged a $14 million Health Care Innovation Award led by the Wyoming Institute for Population Health to help achieve this goal. The Department of Health allocated […]
Tennessee – Medical Homes
/in Policy Tennessee Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPSince 2008, the Bureau of TennCare (Tennessee’s Medicaid agency) has worked with the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) to advance the medical home model in pediatric practices. In 2012, TNAAP launched the Tennessee Medical Home Project, a three-year education and training initiative to increase providers’ medical home capabilities and capacity to […]
Montana – Medical Homes
/in Policy Montana Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesLed by the state’s Commissioner of Securities and Insurance, Montana announced the launch of a voluntary statewide multipayer medical home initiative in March 2014. The Montana Patient-Centered Medical Home Program includes participation by Montana Medicaid and three commercial health plans: Allegiance Benefit Plan Management, Inc.; Blue Cross Blue Shield of Montana; and PacificSource Health Plans. […]
Quality & Performance Measurement
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement /by NASHPQuality and performance measurement is key to improving value in the health care system, because you cannot improve what you cannot measure. NASHP realizes the importance of quality and performance measurement and strives to provide states with best practices in quality and performance measurement so that states can achieve their ultimate goal of improving population health. We have […]
Payment Reform
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPMany states are developing and implementing payment reform initiatives to help improve the patient experience and the health of populations while lowering the costs of care. Payment reform efforts involve a transition away from fee-for-service (FFS) payment mechanisms that reward high volume to alternative payment methods that reward value. Such payment models include shared savings, […]
HCCI and NASHP Announce State Health Policy Grant Recipients
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPFor Immediate Release: March 5, 2015 Contact: For HCCI: Maya Brod, 301-280-5757 mbrod@burness.com For NASHP: Lesa Rair, 202-903-2785 lrair@oldsite.nashp.org Research teams will analyze how states are implementing health system reforms The Health Care Cost Institute (HCCI) and the National Academy for State Health Policy (NASHP) have announced the recipients of the State Health Policy Grant […]

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. 
























































































































































Hospital Transparency: State Efforts Reveal More Comprehensive Financial Data than Current Federal Requirements
/in Health System Costs Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, Quality and Measurement, Value-Based Purchasing /by Amanda Attiya and Maureen Hensley-QuinnFederal efforts to increase hospital price transparency are falling short as hospitals fail to fully comply with requirements. However, states with transparency laws that give them access to comprehensive hospital financial data are using the pricing information to more fully analyze hospitals’ fiscal health and inform states’ cost containment efforts.