Delivery System Reform

Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health […]

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  • State Health Policy Blog

    By Carrie Hanlon August 2012 Racial and ethnic minorities disproportionately experience chronic disease, often receive suboptimal quality care and therefore can benefit most from delivery reform initiatives aiming to improve quality and care coordination, particularly for the chronically ill.  Through a variety of provisions, the Affordable Care Act (ACA) facilitates state and federal action to […]

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  • Publications

    The Affordable Care Act (ACA) offers states multiple policy levers to improve health status and care for racial and ethnic minority populations through delivery system reforms, public health and community interventions, and insurance coverage, as well as provisions specific to disparities reduction. This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, […]

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  • Webinars

    Audio Recording Webinar Slides This webinar, moderated NASHP Executive Director Alan Weil, explored state delivery reform efforts and how states might use the State Innovation Models initiative as a strategy to advance their efforts. On July 19, 2012, Centers for Medicare & Medicaid Services (CMS) announced the State Innovation Models initiative that will provide $275 […]

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    August 7, 2012 | Filed under: Delivery System Reform, Webinars
  • State Health Policy Blog

    By Jill Rosenthal June 2012 North Carolina’s success in developing a statewide infrastructure that supports a robust primary care system has resulted in better health outcomes, lower cost, and a new way of organizing and improving health in the state.  This success is due largely to its ability to synchronize and align initiatives within the […]

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  • Webinars

    Section 2703 of the Affordable Care Act provides states with an enticing opportunity to provide health homes for chronically ill Medicaid enrollees. States are able to draw an enhanced federal match to integrate primary care with behavioral health and long-term services and supports for two years.  Join Melinda Abrams of The Commonwealth Fund and state […]

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  • In 2011, NASHP was awarded a National Organizations of State and Local Officials (NOSLO) national cooperative agreement with the federal Health Resources and Services Administration (HRSA). By facilitating collaboration between Medicaid agencies and the safety net, the NOSLO cooperative agreement, which builds on NASHP’s prior work with HRSA (see Community Health Centers), aims to support […]

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    May 17, 2012 | Filed under: Delivery System Reform, Medicaid
  • Publications

    This is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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    May 16, 2012 | Filed under: Delivery System Reform, Medicaid, Publications