- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
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- Quality, Cost, and Health System Performance
- ACOs
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- Delivery System Reform
- Fraud and Abuse
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- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
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- Payment Reform
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- Specific Populations
- Adolescents
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- Young Adults
- Youth
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- Youth in Juvenile Justice System
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Building Medical Homes: Lessons from Eight States with Emerging Programs
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 innovative tactics to help primary care providers adopt the model. As a whole, their experiences demonstrate that states can play critical roles in convening stakeholders, helping practices improve performance, and addressing antitrust concerns that arise when multiple payers collaborate.
December 2011» -
A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings
Integrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients' physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a comprehensive medical home. This report focuses on how Tennessee and Missouri - two states that NASHP works with under our National Cooperative Agreement with the federal Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC) - have approached integration and provides lessons for states seeking to integrate health care delivery systems.May 2010» -
Missouri
The Missouri legislature first promoted medical homes with the passage of SB577 of the 2007 Session Laws, known as the Missouri Health Improvement Act, which including a requirement that MOHealthNet (Medicaid) provide all beneficiaries with a health care home (left undefined in the legislation). -
Payment Options to Support Medical Homes: Theory and Practice
Presented by the National Academy for State Health Policy, with the support of The Commonwealth FundTuesday, March 2, 20102:30 pm - 4:00 pmThis webcast will explore payment options for states to consider as they plan their medical home initiatives. Robert Berenson, MD, Institute Fellow from the Urban Institute, will discuss a range of payment options to support the patient centered medical home and will explore the conceptual advantages and disadvantages of each model. Mary Takach, MPH, RN, Project Manager with NASHP, will offer examples of payment models being used by states. Opportunities for questions and answers from webcasts participants will be provided. Moderator: Melinda K. Abrams, MS, Assistant Vice President, Patient‐Centered Coordinated Care, The Commonwealth Fund Speaker: Robert Berenson, MD, Institute Fellow, Urban Institute Speaker: Mary Takach, MPH, RN, Project Manager, National Academy for State Health PolicyEDTWebinar Contact:jbuxbaum@nashp.orgWebinar Upload: -
Mississippi
Federal Support: Mississippi has received a planning grant from the Centers for Medicare & Medicaid Services (CMS) to develop a state plan amendment to implement Section 2703 of the Affordable Care Act (ACA), establishing health homes for Medicaid enrollees with chronic conditions.Last Updated: May 2012 -
Health Homes for Medicaid Enrollees with Chronic Conditions: A Conversation with CMS and States Regarding the ACA State Plan Option
Thursday, August 12, 20102:00 pm - 4:00 pmESTThere are at least 37 states that are planning or implementing health homes, medical homes, or advanced primary care for Medicaid populations. Many of these initiatives focus first on a subset of the chronically ill or high cost beneficiaries, with plans to expand to a broader population over time as desirable outcomes, such as improved quality of care and reduced health care costs, are realized. The State Option to Provide Health Homes for Enrollees with Chronic Conditions, section 2703 of the Affordable Care Act (ACA), will provide enhanced federal funding for states that are planning to expand or implement a health home initiative that will serve individuals with chronic conditions – provided certain criteria are met. This 120-minute webcast allowed states and stakeholders to hear from the Centers for Medicare & Medicaid Services (CMS) about the parameters of the legislation, and provided an opportunity for states to weigh in with CMS about how the State Plan Option might be constructed to best serve the needs of Medicaid populations.
Webinar Contact:JBuxbaum@nashp.org
