Delivery System Reform

States are seeking to strengthen primary care through the medical home model to achieve better outcomes and lower costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of medical home programs. The states have drawn on both well-tested approaches and […]

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  • Publications

    NASHP convened a June 2011 forum in Denver, Colorado, that brought together state and federal officials, primary care offices and associations and other key partners to learn from Colorado’s efforts and discuss health centers’ roles and challenges in delivery system reform. This report frames key issues, themes and recommendations that emerged from the forum for […]

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  • Publications

    The Patient Protection and Affordable Care Act of 2010 (ACA) provides an opportunity for states to reduce racial and ethnic disparities in health and health care. As states roll out health care reform implementation, they can use disparities data to inform their actions. This issue brief was prepared by NASHP for the Agency for Healthcare […]

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  • Publications

    In June 2010, the National Academy for State Health Policy (NASHP) convened a forum to examine evolving model approaches as well as surface new strategies that could be promoted with federal and state policymakers, foundations and the health center community to help progression toward reformed health systems. This paper presents the vision laid out at […]

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    March 9, 2011 | Filed under: Delivery System Reform, Publications
  • Publications

    Federal and state governments play a significant role in strengthening the delivery of primary care, however current efforts have disproportionally been focused on large or multi-specialty  practices. This report examines the roles states are playing to reorganize the delivery of primary and chronic care to produce more efficient and effective care, particularly in small practices. Through […]

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  • Publications

    The medical home model–an approach to offering excellent primary care–is gaining momentum. A wide range of stakeholders are now embracing medical homes, and the Affordable Care Act has dedicated resources to developing and spreading the model. In this context, states have been leaders in building medical homes – especially for vulnerable populations. Several of the […]

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  • Publications

    Many critical aspects of federal health reform will be implemented by the states.  Through program design, regulations, policies and practices, state decisions and actions already play a profound role in shaping the American health care system.  Both the House and Senate reform proposals would dramatically change the federal structure within which state health policy operates.  […]

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    November 16, 2009 | Filed under: Children's Health, Delivery System Reform, Publications
  • Publications

    States will have enormous short-term and long-term needs for assistance as they grapple with federal health reform legislation.  Significant federal and private resources to support state-level implementation will be necessary.  Implementation support must be defined and coordinated quickly.  Technical assistance must be provided in a manner that corresponds with state needs. State officials should be […]

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    November 16, 2009 | Filed under: Children's Health, Delivery System Reform, Publications
  • This State Health Policy Briefing presents the issues identified by NASHP’s state leadership as their most significant priorities for improving their health systems.  As Academy members discussed their priorities, a set of broader themes emerged. These larger policy goals are: Connect People to Needed Services; Promote Coordination and Integration in the Health System; Improve Care […]

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    August 14, 2009 | Filed under: Delivery System Reform
  • Publications

    One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB

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