Value-Based Purchasing
FEATURED ARTICLE
Federal-State Discourse on Maintaining Momentum for Payment and Delivery System Reform
/in Policy Charts Behavioral/Mental Health and SUD, Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Palliative Care, Quality and Measurement, Value-Based Purchasing /by NASHP WritersText
Data for Change: How States Have Used APCDs to Drive Innovation
/in Policy Maryland, New Hampshire Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by Tamara KramerState-run all-payer claims databases (APCDs) are a critical public resource and serve a unique function in the current era of health care reform. APCDs, which are operating in 18 states, provide fair and equal access to independently validated data that can both support evidence-based policymaking as well as help patients navigate the health care system. […]
Webinar: Advancing Health through Accountable Communities: A Conversation with States
/in Policy Webinars Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Population Health, Quality and Measurement, Value-Based Purchasing /by NASHP StaffManaging Medicaid Managed Care: New State Strategies to Promote Accountability and Performance
/in Policy Ohio, Tennessee Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Medicaid Expansion, Medicaid Managed Care, Quality and Measurement, State Insurance Marketplaces, Value-Based Purchasing /by Sarabeth Zemel, Alice Weiss and Neva KayeAs the scope of State Medicaid agencies becomes wider and more complex, states are increasingly turning to managed care organizations (MCOs) to cover Medicaid enrollees, including those with complex needs. This shift from a fee-for-service, volume-based payment model requires states to effectively manage MCOs and other vendors. With states facing tight budgets, limited staff, and […]
Value-Based Payment Reform Academy – Frequently Asked Questions
/in Policy Cost, Payment, and Delivery Reform, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHP StaffTechnical Assistance How many hours of technical assistance can a state receive? NASHP does not place restrictions on technical assistance. In addition to the individual monthly calls for each state team, each team will have ongoing access to NASHP staff who can provide technical assistance or connect states with external faculty in response to state […]
Value-Based Payment Academy: Advancing Value-Based Payment Methodologies for Federally Qualified Health Centers and Rural Health Clinics
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Value-Based Purchasing /by NASHP StaffCongratulations to the six states selected to participate in the NASHP Value-Based Payment Reform Academy: Colorado Hawaii Michigan Nevada Oklahoma Washington, DC NASHP is pleased to announce it is convening a Value-Based Payment Reform Academy. The goal of this academy is for selected states to develop and implement value-based alternative payment methodologies (APMs) for federally […]
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 NASHPHealth Care Cost Institute Emerging Uses of Claims Data
/in Policy Webinars Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPPopulation Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Tennessee, Washington Charts Accountable Health, 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, Housing and Health, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing /by NASHP WritersThe Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is an important component of the […]
What’s at Stake for States? The Lines are Drawn in Gobeille v. Liberty Mutual
/in Policy Vermont Reports Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Quality and Measurement, Value-Based Purchasing /by Lesa RairOn December 2nd, the US Supreme Court will take up Gobeille v. Liberty Mutual, a case which could limit states’ ability to collect essential data to advance payment reforms, address cost and quality and assure consumers have information and access to care. At issue is whether or not a state can compel a self-insured employer to […]

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. 
























































































































































Independent Analysis Finds Montana Has Saved Millions by Moving Hospital Rate Negotiations to Reference-Based Pricing
/in Policy Montana Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Making the Case for Action, State Employee Health Plans, Value-Based Purchasing /by Johanna ButlerA new, independent analysis of the Montana state employee health plan’s transition to reference-based pricing – which limits hospital prices to a multiple of what Medicare pays – found significant savings for the state in the two years after its implementation. Further, there is no evidence that utilization artificially increased as a result of the new payment […]