Payment Reform

Safety net providers can be valuable partners for states looking for ways to expand access to individuals newly eligible for coverage under the ACA. Join New Hampshire Medicaid Director Katie Dunn for this 60-minute webinar which will share findings from a new NASHP report and feature speakers from an innovative Los Angeles school-based health center […]

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  • Webinars

    National media in recent months have featured the high and variable costs of common health care services. In this webinar you’ll hear from leaders in Virginia, Massachusetts, and New Hampshire on what they’ve done to address the issue and improve price transparency. In a recent report, Catalyst for Payment Reform (CPR) and the Health Care Incentives Improvement […]

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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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  • Multi-Payer Resource Center
    Toolkits

    Public-private multi-payer pilots are unique opportunities to support high-performing delivery systems by creating alignment around payment, reporting, and infrastructure investments. Multi-payer projects benefit both payers and providers: Multi-payer projects spread transformation costs among all payers seeking to improve both quality and costs, creating a shared incentive to build essential infrastructure for delivery system improvement. In […]

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    March 29, 2013 | Filed under: Payment Reform, Primary Care and Medical Homes, Toolkits
  • 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
  • Publications

    As a result of large-scale changes in insurance coverage under the Affordable Care Act (ACA), financing streams for safety net providers will shift. The law provides significant resources for further development of some safety net providers while reducing funding streams for others. The vulnerable populations served by the safety net—poor and underserved communities—may not fundamentally […]

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    October 10, 2012 | Filed under: Payment Reform, 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
  • Payment describes the targeted delivery system (e.g. fee-for-service or managed care) of the initiative and the design of the accountable care payment model.   Alabama As described in the 1115 Waiver Concept Paper, this initiative would utilize a payment model that includes capitation with care management payments (the transition period could include fee-for-service).   The […]

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    August 21, 2012 | Filed under: Payment Reform
  • Publications

    The National Academy of State Health Policy (NASHP) conducted a survey in the summer of 1999 of the 31 states known to be using financial penalties or incentives in their Medicaid managed care contracts. This paper is based upon information provided by the 28 states that responded and examines recent trends in the use of […]

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    June 7, 2012 | Filed under: Payment Reform, Publications
  • Webinars

    Medicaid payment reform is needed to drive delivery system change. Moving to value-based purchasing strategies, particularly for patients with complex health needs, makes sense. Historically, however, few Medicaid programs have succeeded inmoving safety net providers away from volume-based reimbursement. This Medicaid-only webinar discussed options and possibilities for safety net providers to participate in value-based payment […]

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    June 4, 2012 | Filed under: Payment Reform, Webinars