Delivery System Reform

States are key facilitators when it comes to building community infrastructure to support multi-payer pilots, such as information technology, shared practice supports, and behavioral health integration.   Also see the Supporting Practices section of NASHP’s Medical Home Map and the Support for Infrastructure section of NASHP’s State Accountable Care Activity Map. Community Care of North […]

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  • The National Academy for State Health Policy (NASHP), with the support of the Kaiser Permanente Community Benefit, is working with states that are well positioned to begin integrating delivery systems and pursuing payment reforms. The work in this area is presented in an Integrated Delivery System (IDS) Toolkit on NASHP’s State Refor(u)m website. The IDS […]

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    March 8, 2013 | Filed under: Delivery System Reform
  • Webinars

    Download Slides   States, in their capacities as payers, purchasers, and regulators, have a key role to play in shifting to payment structures that reward high quality care and reduce the volume incentives inherent in fee-for-service reimbursement. Payment reform, particularly when multiple payers work together, offers the potential not only for promoting value in health […]

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    February 27, 2013 | Filed under: Delivery System Reform, Payment Reform, Webinars
  • Webinars

    State decisions about whether or not to do the Medicaid expansion have begun to unfold, but Medicaid has many other critical changes on its plate.  States have complex eligibility and enrollment, financing, benefit design and consumer assistance requirements to untangle, and 2014 is approaching quickly. This State Refor(u)m webinar will provide a brief overview of […]

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    February 14, 2013 | Filed under: Delivery System Reform, Webinars
  • The ABCD experience has demonstrated that Medicaid and other state agencies can play an important role in promoting system and practice level change to improve routine identification of young children with developmental problems. Policy improvements most often occurred when they were an integral part of the work from the start rather than added on later […]

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    January 1, 2013 | Filed under: Delivery System Reform
  • States around the country are seeking new approaches to achieving payment and delivery system reform, recognizing that the most powerful approaches will include multiple payers working together and will include new models of care delivery that better integrate providers and services and increase their accountability for defined populations. This webinar will examine how states can […]

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    December 13, 2012 | Filed under: Delivery System Reform
  • State Health Policy Blog

    By Larry Hinkle December 2012 Many state officials are turning their attention to the most neglected leg of the Triple Aim: improving the health of populations, which along with improving the experience of care, and reducing per capita costs of health care, is essential for system transformation efforts. The critical need to integrate population health […]

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  • Publications

    By Andy Snyder December 2012 This blog post was originally published on State Refor(u)m’s State of Implementation Blog States typically don’t have great information on the reasons why people fall off of Medicaid, or are denied coverage in the first place. Complex, outmoded coding systems can obscure the real story behind an applicant’s denial or […]

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    December 7, 2012 | Filed under: Delivery System Reform, Publications
  • Publications

    This State Health Policy Brief captures the main themes of an April 2012 meeting of state and national leaders to discuss their vision for a future in which delivery system transformation capitalizes on the true potential of technology to improve the health care system. It includes a description of challenges leaders identified across four dimensions […]

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    October 11, 2012 | Filed under: Delivery System Reform, Health IT, Publications
  • State ‘Accountable Care’ Activity Map
    Maps

    With the support of The Commonwealth Fund, NASHP is tracking state efforts to lead or participate in accountable care models that include Medicaid and Children’s Health Insurance Program populations. Accountable care models aim to address lack of care coordination and wide disparities in cost and quality of care in the U.S. health care system, perpetuated […]

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    September 26, 2012 | Filed under: Delivery System Reform, Maps, Payment Reform