Imagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]
Author Archive for: anne-gauthier
About Anne Gauthier
Anne Gauthier is senior program director at the National Academy for State Health Policy (NASHP), where she manages a portfolio of projects on state roles in health reform and health system performance. Currently, she directs the State Health Exchange Leadership Network, a peer-to-peer learning community for state officials working on health benefit exchange development, supported by state funds and the Robert Wood Johnson Foundation. Anne also directs NASHP’s contract to evaluate CMS’s State Innovation Models (SIM) initiative. In addition, she serves as project director for a project to foster integrated delivery systems with effective state health policy, funded by Kaiser-Permanente Community Benefit, and is on the evaluation team for the CMS Multi-payer Advanced Primary Care Practice demonstration.
Anne previously served as project director for the Office of the National Coordinator for HIT’s Trailblazer States project to support states in designing a state-level quality measurement infrastructure. In addition, she directed a study commissioned by the West Virginia Insurance Department aimed at exploring opportunities for regional health insurance exchanges. She was formerly the project director for NASHP’s technical assistance role in the Robert Wood Johnson Foundation’s State Health Reform Assistance Network, the project director for the HSRA State Health Access Program policy assistance contract., and as project director for a Commonwealth Fund project, Advancing State Health Performance: New State Roles, including studies of payment reform innovations, state roles in strengthening primary and chronic care, and accountable care organizations, with an emphasis on public and private collaboration (including Medicaid, state employee purchasers, community leaders, and private providers and payers).
Prior to joining NASHP in July 2009, Anne was assistant vice president of The Commonwealth Fund and deputy director of the Fund’s Commission on a High Performance Health System. She also directed the Fund’s State Innovations program. Prior to joining the Fund in May 2005, she was vice president of Academy Health where she served as program director for the Robert Wood Johnson Foundation's Changes in Health Care Financing and Organization initiative and senior advisor for the Foundation's State Coverage Initiatives. Before joining Academy Health in 1989, she was senior researcher for the National Leadership Commission on Health Care., a private commission charged with developing a system-wide public/private strategy to control rising costs, improve the quality, appropriateness, and efficiency of care, and ensure universal access to a basic level of services. She held a position in the congressional Office of Technology Assessment from 1980 to 1986. Anne holds an AB in molecular biology from Princeton University and a MS in health administration from the University of Massachusetts School of Public Health.
Entries by Anne Gauthier
In the throes of headlines that feed either supporters or critics of the Affordable Care Act, it is time to take a look at innovation in progress. Let’s take a look at the states that have established their own state-based exchanges (SBEs) to deliver quality, affordable health care to millions and bolster the march toward […]
In this new issue brief, NASHP identifies considerations and policy options for states pending the outcome of King v. Burwell. A pro-King decision might end federal subsidies provided to individuals in the 34 states that used the Federally-Facilitated Marketplace to enroll in health insurance coverage, impacting about 7.3 million people. Although the outcome of the case is uncertain, states may want to […]
In the new health care world of more accountable care with incentives fashioned to spur higher quality and better value, data forms the backbone for all models and all activities. The first andsecond blog posts in this series explored the policy toolkit and payment reform models states can use to promote better delivery system integration. […]
Ensuring higher quality and more seamless patient care requires new financial incentives for teamwork between different health care providers and organizations. In the first blog post in this series, we explored components of the policy toolkit available to states for building a more integrated health care delivery system. Perhaps the most important tool available as […]
Sharing certain insurance exchange functions across states holds promise for cost savings and other benefits to consumers, states and additional stakeholders. This NASHP report highlights findings and next steps from a study supported by the West Virginia Offices of the Insurance Commissioner, which included interviews and an in-person meeting with officials from several states and […]
This State Health Policy Brief captures the main themes of an April 2012 meeting of state and national leaders to discuss their vision for a future in which delivery system transformation capitalizes on the true potential of technology to improve the health care system. It includes a description of challenges leaders identified across four dimensions […]
As states develop insurance exchanges, their decisions have profound implications for consumers. This report covers three main areas where consumers intersect with the exchange. First are ways consumers participate in exchange governance, such as directly serving on exchange governing boards. Second is consumer input into exchange policy and implementation decisions, and the various avenues states […]
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 in seven states, […]