Oregon

More than a dozen states are developing accountable health models to improve population health and control costs by addressing community needs, such as transportation, recreation, and housing. These entities’ mission — to build healthy communities through cross-sector partnerships — is supported by innovative and evolving governance structures. This NASHP chart and a companion blog highlight […]

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  • State Health Policy Blog

    Oregon’s Accountable Health Model Addresses Health Equity and Health-Related Needs: Four Lessons from CCO 2.0

    States developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers — including physical, behavioral, and oral health providers — that the state pays a global capitated […]

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  • Publications
    State Strategies for Shared Plans of Care to Improve Care Coordination for Children and Youth with Special Health Care Needs

    State Strategies for Shared Plans of Care to Improve Care Coordination for Children and Youth with Special Health Care Needs

    Care coordination is an essential component of care for children and youth with special health care needs (CYSHCN). When successfully implemented, it can improve care, reduce costs, avoid fragmented and duplicative care, and improve family functioning and satisfaction. As states work to provide quality care coordination, many are adopting shared plans of care (SPoC) to […]

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  • State Health Policy Blog
    Why Shared Plans of Care Are Critical to Coordinated Care and How States Are Implementing Them

    Why Shared Plans of Care Are Critical to Coordinated Care and How States Are Implementing Them

    Children and youth with special health care needs (CYSHCN) can require significant care coordination across a continuum of health and social services. Improved care coordination for CYSHCN can lead to better outcomes for CYSHCN, as well as cost savings for states. To achieve those goals, state Medicaid agencies and Title V CYSHCN programs are increasingly […]

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  • State Health Policy Blog
    States Jumpstart Efforts to Integrate Health and Housing Policies

    States Jumpstart Efforts to Integrate Health and Housing Policies

    As part of the National Academy for State Health Policy’s (NASHP) health and housing institute, officials from five states (IL, LA, NY, OR, and TX) met with other policymakers at #NASHPCONF18 to share how they work across agency siloes to improve health and housing for vulnerable populations, including those experiencing homelessness, struggling with behavioral health […]

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  • How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents

    How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents

    To encourage investments in population health, states are increasingly using levers available in their managed care and value-based contracts to address social determinants of health, such as housing and employment. With support from the Robert Wood Johnson Foundation, the National Academy for State Health Policy examined Medicaid contracts and contract guidance documents in 11 states […]

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  • Publications,State Health Policy Blog

    States Develop New Approaches to Improve Population Health Through Accountable Health Models

    In this time of changing federal health priorities, state health policymakers play a crucial role in breaking the cycle of poverty and inequity so everyone can live healthy, prosperous lives. Many state leaders, with federal support, are implementing community-wide prevention initiatives that acknowledge that health is affected by factors that extend beyond clinical care. Policymakers […]

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  • Toolkits
    Toolkit: State Strategies to Develop Value-Based Alternative Payment Methodologies for FQHCs

    Toolkit: State Strategies to Develop Value-Based Alternative Payment Methodologies for FQHCs

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  • Measurement and Reporting

    Measurement and Reporting

    The National Academy for State Health Policy (NASHP) designed this toolkit to support states interested in developing a value-based alternative payment methodology (APM) for federally qualified health centers (FQHCs). The following section on measuring performance discusses key considerations and promising strategies based on lessons learned from states during NASHP’s Value-Based Payment Reform Academy. Types of […]

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  • State Health Policy Blog

    States Share Innovative Approaches to Improve Population Health through Accountable Health Models

    More than 200 state health officials crowded into a National Academy for State Health Policy’s (NASHP) annual conference session recently to learn about strategies to improve population health and reduce costs while simultaneously transforming their state’s health care finance and delivery models. An Accountable Community for Health (ACH) is: An alliance of health care providers, […]

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