Value-Based Purchasing
FEATURED ARTICLE
Health Reform Hub Maps and Charts
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Quality and Measurement, Value-Based Purchasing /by NASHP WritersHealth Reform Hub Blog Posts
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHP WritersFive Strategies for More Effective Assessments of State Demonstrations
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by Policy AssociateWhat are state and federal policymakers looking for when they invest[i] in state health care demonstration projects? Results. Policymakers need evaluation data to justify investments to legislators and other stakeholders, and to accurately assess the effectiveness of the demonstrations. However, gauging the impact of state demonstrations through monitoring and evaluation requires a great deal of […]
Determining the Impact of State Demonstrations: Considerations for State and Federal Policymakers
/in Policy Texas Reports Cost, Payment, and Delivery Reform, Health System Costs, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHPStates and the federal government are investing heavily in state demonstrations to reform the health care delivery system, and policymakers need data to assess the demonstrations’ effectiveness and justify these investments to state legislators, Congress, and other stakeholders. Gauging the impact of state demonstrations through monitoring and evaluation requires time and effort from both state and […]
Vermont Gets its Day in Court on ERISA: Supreme Court Agrees to Hear Gobeille v. Liberty Mutual Next Term
/in Policy Vermont Blogs Cost, Payment, and Delivery Reform, Health Coverage and Access, Health IT/Data, Health System Costs, Quality and Measurement, Value-Based Purchasing /by NASHP and Alice WeissThe Supreme Court granted certiorari in Gobeille v. Liberty Mutual, a case brought by Vermont challenging the Second Circuit Court of Appeals’ ruling on ERISA preemption that bars the state from requiring self-insured employer-sponsored health plans to submit claims data to Vermont’s all-payer claims database (APCD). In doing so, the Supreme Court is providing Vermont […]
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 […]
Identifying Value in Multi-Payer Reform: The Nuts and Bolts of Quality Measurement
/in Policy Cost, Payment, and Delivery Reform, Health System Costs, Quality and Measurement, Value-Based Purchasing /by NASHP and Tess ShirasStates across the nation are transitioning their health care systems from fee-for-service to payment models that reward quality and positive outcomes. Public and private payers are moving towards paying for value over volume. But, how do states define high quality? What, precisely, are health insurance carriers rewarding? States and federal agencies are developing aligned measure […]
Financing Prevention: How States are Balancing Delivery System & Public Health Roles
/in Policy Reports Accountable Health, Cost, Payment, and Delivery Reform, Health Coverage and Access, Health Equity, Health System Costs, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Quality and Measurement, Safety Net Providers and Rural Health, Social Determinants of Health, Value-Based Purchasing /by Carla Plaza, Abigail Arons, Jill Rosenthal and Felicia HeiderThis report, developed by the National Academy for State Health Policy and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement […]
State Use of Patient-Centered Outcomes Research in Telehealth Policymaking
/in Policy Featured News Home, Reports Chronic Disease Prevention and Management, Consumer Affordability, Cost, Payment, and Delivery Reform, COVID-19, Health Equity, Health System Costs, Population Health, Quality and Measurement, Quality and Measurement, Social Determinants of Health, Value-Based Purchasing /by Amanda Attiya, Christina Cousart and Maureen Hensley-QuinnThe adoption and use of telehealth have exploded across states, spurred by the COVID-19 pandemic, the need for social distancing, and swift federal and state action to enable how telehealth is delivered and covered by insurers. These changes will have a lasting impact on how health care is delivered, affecting payers, medical providers, and patients […]