Primary Care and Medical Homes

Provider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this webinar addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as part […]

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  • Publications

    Provider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this brief addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as […]

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  • Publications

    Unplanned and complex births carry potentially avoidable health complications and costs to families and states. Broad healthcare payment and delivery reform is underway across the country to improve outcomes, enhance patient experience and reduce costs. Some states are capitalizing on these reforms to promote planned and healthy births by driving improvement in effective contraceptive use […]

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  • NASHP has written two case studies for HealthHIV’s Three D HIV Prevention Program, which is supported by the Centers for Disease Control and Prevention (CDC), and provides technical assistance to better inform programmatic decisions impacting the delivery of quality HIV prevention and treatment services: New York’s experience implementing performance metrics for the HIV/AIDS population in its Medicaid managed […]

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  • Publications

    States across the country are fully engaged in delivery system and payment reform efforts to improve care and lower costs in their Medicaid programs. Data is a critical component of these efforts. This NASHP brief provides an introduction to two types of Medicaid utilization data—fee-for-service claims data and managed care encounter data—and, based on examples […]

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  • Publications

    A new study looks at how leading states stack up to Australia on organizing primary care. Colorado, North Carolina, and Oregon have implemented regionally based Medicaid-funded primary health care organizations (PHCOs) as vehicles to strengthen their primary care foundations and improve the capacity of practices. Several countries with highly ranked delivery systems have implemented similar […]

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    December 8, 2015 | Filed under: Primary Care and Medical Homes, Publications
  • Publications

    Medical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening […]

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    April 7, 2015 | Filed under: Primary Care and Medical Homes, Publications
  • State Health Policy Blog

    Tasmania, Australia’s only island state, encompasses an area of 26,262 square miles – an area roughly the size of West Virginia – and is home to just over half a million Australians, most of them low income. According to Tasmania Medicare Local CEO Phil Edmondson, “We are the oldest and sickest and most poorly educated […]

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  • Publications

    Federal and state policymakers are faced with the challenge of integrating services to address both the physical and behavioral health needs of the population. This brief summarizes key lessons and opportunities for federal and state alignment that surfaced during a meeting supported by The Commonwealth Fund of high-level federal and state leaders. Several case studies […]

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  • Publications

    Many factors catalyze the current trend toward primary care teams: payers’ demands for more integrated care and the varied skills such care requires; the complexity of today’s health care environment; the cost-effectiveness of using non-physician practitioners for some care; as well as insufficient numbers of primary care physicians in many areas of the country. Delivery […]

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    October 11, 2014 | Filed under: Primary Care and Medical Homes, Publications