Payment Reform
The Promise and Pitfalls of State-Based Payment Reform
Friday, February 27, 2015: Many states across the nation are in the process of designing and implementing multi-payer payment reform initiatives. The goals of these initiatives are to improve patient experience, improve the health of populations, and reduce health care costs. This webinar addresses how current payment reform models can help fix our broken health care delivery system and assist states to achieve the Triple Aim. However, along the payment transformation journey, are there potential pitfalls of payment reform models that states should look out for and avoid?
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A Walk in Someone Else’s Shoes: Payment Reform Perspectives from Providers and Private Payers
Monday, December 15, 2014: This panel-style webinar features a discussion with representatives from a commercial plan, a self-insured purchaser, a large health system, and a primary care provider. Panelists discuss their interaction with state delivery and payment transformation as well as their goals and motivations for participating in such efforts. The webinar audience learns about the unique challenges that each of these stakeholders face in implementing state health system reforms and the ways in which states can better collaborate with payers, purchasers, and providers.
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State Strategies for Improving Maternal and Infant Care
Low birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as […]
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Sustaining Momentum in Multi-Payer Payment Reform: Transitioning from Design to Implementation
Tuesday, July 29, 2014: This webinar explores the leap from health system transformation planning to practice by showcasing four leading states that are designing and implementing multi-payer payment reforms. Through a facilitated discussion, state officials discuss policy levers to shift payment systems away from fee-for-service, offer strategies for sustaining stakeholder momentum and commitment, and share perspectives on promising practices for and operational challenges of turning a plan for multi-payer payment reform into reality.
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Quality Measurement to Support Value-Based Purchasing: Aligning Federal and State Efforts
Public payers are moving to implement payment strategies that reward value in the health care system by linking payment to quality. This report—the third in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights quality measurement strategies underpinning value-based purchasing initiatives at the federal and state […]
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Identification and Assessment of Children and Youth with Special Health Care Needs in Medicaid Managed Care: Approaches from Three States
Increasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]
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Aligning Federal and State Efforts on Payment Reform
The federal government and states are exploring new strategies for rewarding value in order to achieve better health outcomes at a lower cost. This report—the second in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights relevant policy levers that can support payment reform and a […]
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Five Key Strategies to Engage Health Care Payers and Purchasers in a Multi-Payer Medical Home Initiative
One of the most critical steps in developing and implementing a multi-payer medical home initiative is securing health care payer and purchaser participation. This new NASHP brief discusses five overarching strategies that conveners can use to make the case: building trust among competitors; leveraging existing infrastructure; using the market to drive demand; striking the balance […]
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Aligning Federal and State Approaches to Integrating Primary Care and Community Resources
Monday, December 9, 2013 12:30-2pm EST View Webinar Here Join NASHP for a webinar on aligning federal and state programs and policies to support building stronger linkages between primary care and resources and services within the community, including behavioral, public health, long-term services and socio-economic supports. State leaders from Alabama and Rhode Island will describe […]
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Payment and Delivery System Reform: It’s All About the Data, States!
For states and their partners seeking a better integrated delivery system through multipayer reform initiatives, effective use of data is the foundation, the “building” itself, and roof above. Easier envisioned than done, data can help participants in multi-payer initiatives offer constructive feedback on performance to providers, distribute rewards in value-based payment systems, and hold system […]
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