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Comprehensive State Reforms

On the Road to Better Value: State Roles in Promoting Accountable Care Organizations
Affordable Care Act | State roles | System performance

States are keenly aware of the need to create more coherent and value-driven systems of care through improved payment and delivery systems. The accountable care organization (ACO) model has received increased attention as a mechanism to promote better value in health care spending. This report examines the development of the ACO model...

Kitty Purington, Policy Specialist
Anne Gauthier, Senior Program Director
February 2011
Reforming Health Care Delivery Through Payment Change And Transparency: Minnesota’s Innovations
Payment Reform | State Legislation | System performance
In 2008 Minnesota passed landmark legislation containing provisions to collect and report data to achieve price and quality transparency, as well as provisions to support care redesign and payment reform. This report illustrates several key achievements and the challenges Minnesota faces in implementing these reforms. It also derives lessons from...
Anne Gauthier, Senior Program Director
Ann Cullen
March 2010
Health Reform in Maine, Massachusetts, and Vermont: An Examination of State Strategies to Improve Access to Affordable, Quality Care
Cost containment | Coverage | Health reform
This issue brief was prepared by NASHP for the Maine Health Access Foundation to examine the progress of health reform in Maine, Massachusetts, and Vermont and to compare these three states’ efforts. The brief was developed and written by Neva Kaye and Andrew Snyder. The brief includes information on:
Neva Kaye, Managing Director, Health System Performance
March 2007
Designing Maine’s DirigoChoice™ Benefit Plan – Striving to Improve Health at an Affordable Price
Access | Cost containment | Health reform
Maine’s Dirigo Health Reform Act of 2003 seeks to address health care costs, quality, and access. In order to address access, the Act authorizes the creation of a voluntary market-based health plan to help small businesses, the self-employed, and individuals afford health coverage. This issue brief addresses benefit design of the health plan...
Jill Rosenthal, Program Director
December 2004
Report from Focus Groups with Mainers about the Dirigo Health Plan
Cost containment | Health reform | research
This paper reports on the results of focus group studies conducted to ascertain Maine citizens’ views of the Dirigo Health Reform Act.
Gene LeCouteur
November 2004