State Health Policy Blog

Imagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without working together, cacophony abounds. Enter the state as conductor and participant in aligned multi-payer payment reform, and sweet sounds emerge. If it only happened […]

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  • State Health Policy Blog

    Okay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]

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  • State Health Policy Blog

    Several primary health care organizations (PHCOs) that I have spoken with in the states and in Australia during my 10-month fellowship have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services. These referral centers can take the load off […]

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    April 27, 2015 | Filed under: Behavioral Health, State Health Policy Blog
  • Extending CHIP is an Important First Step, More Work as We Look Ahead!
    State Health Policy Blog

    It’s a great relief to many state officials that Congress has passed an extension of the Children’s Health Insurance Program (CHIP). Last night, the U. S. Senate passed H. R. 2, a bill that already passed the House to repeal and replace the Medicare Sustainable Growth Rate (SGR) and extend federal funding for the CHIP […]

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    April 15, 2015 | Filed under: Children's Health, State Health Policy Blog
  • State Health Policy Blog

    In the throes of headlines that feed either supporters or critics of the Affordable Care Act, it is time to take a look at innovation in progress. Let’s take a look at the states that have established their own state-based exchanges (SBEs)[1] to deliver quality, affordable health care to millions and bolster the march toward […]

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    April 14, 2015 | Filed under: State Exchanges, State Health Policy Blog
  • 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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  • State Health Policy Blog

    Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia February 2015    Reducing inappropriate utilization of the emergency department (ED) is a very common focus of health systems, payers, and practices seeking to improve health care quality and reduce costs. To help break the cycle of non-emergency ED use lists of “superutilizers” are […]

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    February 24, 2015 | Filed under: State Health Policy Blog
  • Australian Policymakers Taking Cues from ‘Shark Tank’ on Disruptive Innovation
    State Health Policy Blog

    Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia January 2015  Many people are familiar with the U.S. television show, Shark Tank, where budding entrepreneurs pitch business ideas to a panel of industry giants or “sharks,” ultimately convincing one or more of them to invest. Imagine taking a similar premise and adopting it as […]

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    January 22, 2015 | Filed under: State Health Policy Blog
  • State Health Policy Blog

    Improving care for children and youth with special health care needs, also known as CYSHCN, brought together a select group of Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Coordinators and Title V children and CYSHCN directors this October as part of NASHP’s 2014 Annual State Health Policy Conference. These state leaders, who are responsible for […]

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  • State Health Policy Blog

    Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia December 2014  There are many reasons residents in aged care facilities end up in emergency departments (EDs), but a significant number of these visits, between 40 and 67 percent according to research, are potentially avoidable (NCHS, 2004; Ouslander, 2010). One reason for many unnecessary ED […]

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    December 22, 2014 | Filed under: State Health Policy Blog