Quality and Measurement
FEATURED ARTICLE
Making Multipayer Reform Work: What Can Be Learned From Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary Takach and Sarah KinslerMedical 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 […]
Traveling Medical Home Team Brings Multi-Disciplinary Services to Remote Tasmania
/in Policy Blogs Cost, Payment, and Delivery Reform, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachTasmania, Australia’s only island state, encompasses an area of 26,262 square miles – an area roughly the size of West Virginia – and is home to just over half a million Australians, most of them low income. According to Tasmania Medicare Local CEO Phil Edmondson, “We are the oldest and sickest and most poorly educated […]
Wyoming – Medical Homes
/in Policy Wyoming Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesWyoming’s 2013 Supplemental Budget included a $300,000 earmark to “[develop] a primary care medical home network in Wyoming.” The Wyoming Department of Health, which administers the state’s Medicaid program, leveraged a $14 million Health Care Innovation Award led by the Wyoming Institute for Population Health to help achieve this goal. The Department of Health allocated […]
Tennessee – Medical Homes
/in Policy Tennessee Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPSince 2008, the Bureau of TennCare (Tennessee’s Medicaid agency) has worked with the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) to advance the medical home model in pediatric practices. In 2012, TNAAP launched the Tennessee Medical Home Project, a three-year education and training initiative to increase providers’ medical home capabilities and capacity to […]
Montana – Medical Homes
/in Policy Montana Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesLed by the state’s Commissioner of Securities and Insurance, Montana announced the launch of a voluntary statewide multipayer medical home initiative in March 2014. The Montana Patient-Centered Medical Home Program includes participation by Montana Medicaid and three commercial health plans: Allegiance Benefit Plan Management, Inc.; Blue Cross Blue Shield of Montana; and PacificSource Health Plans. […]
Quality & Performance Measurement
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement /by NASHPQuality and performance measurement is key to improving value in the health care system, because you cannot improve what you cannot measure. NASHP realizes the importance of quality and performance measurement and strives to provide states with best practices in quality and performance measurement so that states can achieve their ultimate goal of improving population health. We have […]
Payment Reform
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPMany states are developing and implementing payment reform initiatives to help improve the patient experience and the health of populations while lowering the costs of care. Payment reform efforts involve a transition away from fee-for-service (FFS) payment mechanisms that reward high volume to alternative payment methods that reward value. Such payment models include shared savings, […]
HCCI and NASHP Announce State Health Policy Grant Recipients
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHPFor Immediate Release: March 5, 2015 Contact: For HCCI: Maya Brod, 301-280-5757 mbrod@burness.com For NASHP: Lesa Rair, 202-903-2785 lrair@nashp.org Research teams will analyze how states are implementing health system reforms The Health Care Cost Institute (HCCI) and the National Academy for State Health Policy (NASHP) have announced the recipients of the State Health Policy Grant […]
The Promise and Pitfalls of State-Based Payment Reform
/in Policy Webinars Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement /by NASHPFriday, 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?
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by NASHP*Chart updated March 6, 2015 The Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is […]
New Federal “No Surprises Act” Extends Medical Billing Protections Beyond State Reach
/in Policy Blogs, Featured News Home Consumer Affordability, Cost, Payment, and Delivery Reform, Health System Costs, Hospital/Health System Oversight, Quality and Measurement /by Christina CousartThe “No Surprises Act,” the most comprehensive federal legislation enacted to date designed to prohibit surprise medical bills, is part of the recently enacted Consolidated Appropriations Act of 2021.