Value-Based Purchasing
FEATURED ARTICLE
Identifying Value in Multi-Payer Reform: The Nuts and Bolts of Quality Measurement
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement, Value-Based Purchasing /by NASHP and Tess ShirasStates across the nation are transitioning their health care systems from fee-for-service to payment models that reward quality and positive outcomes. Public and private payers are moving towards paying for value over volume. But, how do states define high quality? What, precisely, are health insurance carriers rewarding? States and federal agencies are developing aligned measure […]
Financing Prevention: How States are Balancing Delivery System & Public Health Roles
/in Policy Reports Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Carla Plaza, Abigail Arons, Jill Rosenthal and Felicia HeiderThis report, developed by the National Academy for State Health Policy and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement […]

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 […]