Primary Care and Medical Homes

Through the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems. Rather than adopting specific integrated care models, states may benefit from taking a broader approach that builds […]

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  • State Health Policy Blog

    Substance use disorder affects an estimated 20.8 million people in the United States,[i] however, national survey data show that fewer than 10 percent of individuals with an alcohol use disorder and 20 percent of individuals with an opioid use disorder receive treatment for the condition.[ii],[iii] Individuals battling substance use disorder may not perceive a need […]

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  • Publications

    As the largest payers of substance use disorder treatment services, states have a significant incentive to ensure that their residents have access to a health care system that efficiently and effectively identifies and addresses substance use treatment needs. However, national survey data shows that most individuals with an alcohol or opioid use disorder do not […]

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  • Provider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this webinar addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as part […]

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  • Publications

    Provider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this brief addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as […]

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  • Publications

    Unplanned and complex births carry potentially avoidable health complications and costs to families and states. Broad healthcare payment and delivery reform is underway across the country to improve outcomes, enhance patient experience and reduce costs. Some states are capitalizing on these reforms to promote planned and healthy births by driving improvement in effective contraceptive use […]

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  • NASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]

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  • Publications

    States across the country are fully engaged in delivery system and payment reform efforts to improve care and lower costs in their Medicaid programs. Data is a critical component of these efforts. This NASHP brief provides an introduction to two types of Medicaid utilization data—fee-for-service claims data and managed care encounter data—and, based on examples […]

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  • Publications

    A new study looks at how leading states stack up to Australia on organizing primary care. Colorado, North Carolina, and Oregon have implemented regionally based Medicaid-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations and improve the capacity of practices. Several countries with highly ranked delivery systems have implemented similar […]

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    December 8, 2015 | Filed under: Primary Care and Medical Homes, Publications
  • Publications

    Medical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening […]

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    April 7, 2015 | Filed under: Primary Care and Medical Homes, Publications