Delivery System Reform

Multi-payer payment reform. New delivery models. Patient-centered, value-based care.  Significant investment–including funding to states through CMS’s State Innovations Models initiative (SIM)—has gone toward transforming care delivery. State officials and key stakeholders seeking to transform health care delivery are invited to learn about a vision for infrastructure necessary to enable this transformation. Speakers will draw on […]

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  • State Health Policy Blog

    By Sarah Kinsler May 2013 Momentum is building at the state level for multi-payer payment and delivery system transformation. Across the country, states like Maine, Arkansas, and Oregon are partnering with commercial insurers and other stakeholders to pursue Triple Aim goals. NASHP’s new Multi-Payer Resource Center, supported by The Commonwealth Fund, will help them succeed.

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  • States are key facilitators when it comes to building community infrastructure to support multi-payer pilots, such as information technology, shared practice supports, and behavioral health integration.   Also see the Supporting Practices section of NASHP’s Medical Home Map and the Support for Infrastructure section of NASHP’s State Accountable Care Activity Map. Community Care of North […]

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  • The National Academy for State Health Policy (NASHP), with the support of the Kaiser Permanente Community Benefit, is working with states that are well positioned to begin integrating delivery systems and pursuing payment reforms. The work in this area is presented in an Integrated Delivery System (IDS) Toolkit on NASHP’s State Refor(u)m website. The IDS […]

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    March 8, 2013 | Filed under: Delivery System Reform
  • Webinars

    Download Slides   States, in their capacities as payers, purchasers, and regulators, have a key role to play in shifting to payment structures that reward high quality care and reduce the volume incentives inherent in fee-for-service reimbursement. Payment reform, particularly when multiple payers work together, offers the potential not only for promoting value in health […]

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    February 27, 2013 | Filed under: Delivery System Reform, Payment Reform, Webinars
  • Webinars

    State decisions about whether or not to do the Medicaid expansion have begun to unfold, but Medicaid has many other critical changes on its plate.  States have complex eligibility and enrollment, financing, benefit design and consumer assistance requirements to untangle, and 2014 is approaching quickly. This State Refor(u)m webinar will provide a brief overview of […]

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    February 14, 2013 | Filed under: Delivery System Reform, Webinars
  • The ABCD experience has demonstrated that Medicaid and other state agencies can play an important role in promoting system and practice level change to improve routine identification of young children with developmental problems. Policy improvements most often occurred when they were an integral part of the work from the start rather than added on later […]

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    January 1, 2013 | Filed under: Delivery System Reform
  • States around the country are seeking new approaches to achieving payment and delivery system reform, recognizing that the most powerful approaches will include multiple payers working together and will include new models of care delivery that better integrate providers and services and increase their accountability for defined populations. This webinar will examine how states can […]

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    December 13, 2012 | Filed under: Delivery System Reform
  • State Health Policy Blog

    By Larry Hinkle December 2012 Many state officials are turning their attention to the most neglected leg of the Triple Aim: improving the health of populations, which along with improving the experience of care, and reducing per capita costs of health care, is essential for system transformation efforts. The critical need to integrate population health […]

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  • Publications

    By Andy Snyder December 2012 This blog post was originally published on State Refor(u)m’s State of Implementation Blog States typically don’t have great information on the reasons why people fall off of Medicaid, or are denied coverage in the first place. Complex, outmoded coding systems can obscure the real story behind an applicant’s denial or […]

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    December 7, 2012 | Filed under: Delivery System Reform, Publications