Delivery System Reform

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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  • 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
  • Publications

    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 […]

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    October 11, 2012 | Filed under: Delivery System Reform, Health IT, Publications
  • State ‘Accountable Care’ Activity Map
    Maps

    With the support of The Commonwealth Fund, NASHP is tracking state efforts to lead or participate in accountable care models that include Medicaid and Children’s Health Insurance Program populations. Accountable care models aim to address lack of care coordination and wide disparities in cost and quality of care in the U.S. health care system, perpetuated […]

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    September 26, 2012 | Filed under: Delivery System Reform, Maps, Payment Reform
  • Publications

    Health care reform legislation has spurred efforts to develop integrated health care delivery systems that seek to coordinate the continuum of health services. These systems may be of particular benefit to patients who face barriers to accessing care or have multiple health conditions. But it remains to be seen how safety-net providers, including community health […]

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

    By Carrie Hanlon August 2012 Racial and ethnic minorities disproportionately experience chronic disease, often receive suboptimal quality care and therefore can benefit most from delivery reform initiatives aiming to improve quality and care coordination, particularly for the chronically ill.  Through a variety of provisions, the Affordable Care Act (ACA) facilitates state and federal action to […]

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  • Publications

    The Affordable Care Act (ACA) offers states multiple policy levers to improve health status and care for racial and ethnic minority populations through delivery system reforms, public health and community interventions, and insurance coverage, as well as provisions specific to disparities reduction. This report synthesizes the experiences of teams from seven states (Arkansas, Connecticut, Hawaii, […]

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  • Webinars

    Audio Recording Webinar Slides This webinar, moderated NASHP Executive Director Alan Weil, explored state delivery reform efforts and how states might use the State Innovation Models initiative as a strategy to advance their efforts. On July 19, 2012, Centers for Medicare & Medicaid Services (CMS) announced the State Innovation Models initiative that will provide $275 […]

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    August 7, 2012 | Filed under: Delivery System Reform, Webinars