Delivery System Reform

For a copy of the full slide presentation, click here. This webinar summarizes the deliberations and results of NASHP’s National Workgroup on Integrating a Safety Net into Health Care Reform Implementation. Over the course of nearly a year, this group of state and federal officials, national experts and associations, and safety net systems worked to […]

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  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    A group of state and delivery system leaders convened for a day long symposium during NASHP’s 2011 Annual State Health Policy Conference to consider the potential of integrated delivery systems and effective policy levers to foster their development. This report comes from the symposium titled Fostering State Policy to Support Integrated Delivery Systems: Summary of […]

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    March 29, 2012 | Filed under: Delivery System Reform, Publications
  • Publications

    Shared decision making (SDM)—a process that engages patients in a dialogue with their providers to help them select health care options that conform to their values and preferences—is receiving increased attention as a tool for improving quality and patient satisfaction, and addressing unwarranted variation in care. Building on NASHP’s analyses of state health system improvement […]

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  • Publications

    A 2011 Commonwealth Fund poll found that 98 percent of responding national health care opinion leaders believe that traditional safety net providers will still fulfill critical roles after implementation of the ACA. With the support of The Commonwealth Fund, NASHP formed the National Workgroup on Integrating a Safety Net into Health Care Reform Implementation to […]

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    January 12, 2012 | Filed under: Delivery System Reform, Publications
  • Publications

    Although the federal health center program was initiated and still is largely implemented without significant state involvement, state governments’ relationships with these safety net providers have grown over the years as states have worked to increase coverage and access to quality care. This primer, which is an update to the 2008 publication, Federal Community Health […]

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    January 12, 2012 | Filed under: Delivery System Reform, Publications
  • Publications

    States are seeking to strengthen primary care through the medical home model to achieve better outcomes and lower costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of medical home programs. The states have drawn on both well-tested approaches and […]

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  • Publications

    NASHP convened a June 2011 forum in Denver, Colorado, that brought together state and federal officials, primary care offices and associations and other key partners to learn from Colorado’s efforts and discuss health centers’ roles and challenges in delivery system reform. This report frames key issues, themes and recommendations that emerged from the forum for […]

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  • Publications

    The Patient Protection and Affordable Care Act of 2010 (ACA) provides an opportunity for states to reduce racial and ethnic disparities in health and health care. As states roll out health care reform implementation, they can use disparities data to inform their actions. This issue brief was prepared by NASHP for the Agency for Healthcare […]

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  • Publications

    In June 2010, the National Academy for State Health Policy (NASHP) convened a forum to examine evolving model approaches as well as surface new strategies that could be promoted with federal and state policymakers, foundations and the health center community to help progression toward reformed health systems. This paper presents the vision laid out at […]

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    March 9, 2011 | Filed under: Delivery System Reform, Publications