Delivery System Reform

States will have enormous short-term and long-term needs for assistance as they grapple with federal health reform legislation.  Significant federal and private resources to support state-level implementation will be necessary.  Implementation support must be defined and coordinated quickly.  Technical assistance must be provided in a manner that corresponds with state needs. State officials should be […]

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  • This State Health Policy Briefing presents the issues identified by NASHP’s state leadership as their most significant priorities for improving their health systems.  As Academy members discussed their priorities, a set of broader themes emerged. These larger policy goals are: Connect People to Needed Services; Promote Coordination and Integration in the Health System; Improve Care […]

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    August 14, 2009 | Filed under: Delivery System Reform
  • Publications

    One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB

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  • This State Health Policy Monitor provides an overview of the delivery systems and payment structures states use for their State Children’s Health Insurance Programs (SCHIP).  States generally choose from among: • Contractor-based managed care delivery, • Primary care case management (PCCM), and • Traditional fee-for-service arrangements. A NASHP survey in 2005 found that approximately 70 percent of all […]

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    April 2, 2009 | Filed under: Delivery System Reform
  • Publications

    This issue brief was prepared by NASHP for the Maine Health Access Foundation to examine the progress of health reform in Maine, Massachusetts, and Vermont and to compare these three states’ efforts. The brief was developed and written by Neva Kaye and Andrew Snyder.   The brief includes information on:   • An overview and summary […]

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    March 26, 2009 | Filed under: Delivery System Reform, Publications
  • Delivery System Reforms for Chronic and Long Term Care

    States that have been the most successful in transforming their systems of long term services and supports to be primarily provided in the community have tackled reforms on multiple forms. They have streamlined entry in to community services programs to make them as accessible as institutional care; made effective use of technology to help individuals […]

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    February 10, 2009 | Filed under: Delivery System Reform
  • Publications

    This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. In Pennsylvania all children under age 18 have access to […]

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  • Publications

    This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. As of January 2008, 1,007,188 adults and children were covered under […]

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    August 23, 2008 | Filed under: Children's Health, Delivery System Reform, Publications
  • Publications

    This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials. Illinois integrates operation of its State Childrens Health Insurance Program […]

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