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

    Pilots in Colorado and Western Australia Integrate Paramedics into Care Team

    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

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    Australian Policymakers Taking Cues from ‘Shark Tank’ on Disruptive Innovation

    Australian Policymakers Taking Cues from ‘Shark Tank’ on Disruptive Innovation

    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

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    Addressing Potentially Avoidable ED Visits Among Residents of Aged Care Facilities

    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

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    Using ‘Low Intensity Coaches’ Yields 60% Recovery Rates for People with Mild-Moderate Mental Health Illnesses

    Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia November 2014  According to the World Health Organization, the cost of mental health problems in developed countries is estimated to be between 3% and 4% of GNP. In addition, the cost to national economies in terms of economic burden (productivity) can add up to several […]

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    November 24, 2014 | Filed under: State Health Policy Blog

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    Organizing Delivery Systems to Better Support Primary Care: What Can States in the US Learn From and Share With Australia?

    Walkabout Medical Homes with Mary Takach: A 10-month Study of Australia September 2014 What can states with large frontier areas such as Alaska, Texas, Montana, and Arizona learn from how Australia organizes and supports primary care delivery in its vast outback?  What do publicly financed community-based teams, networks, and organizations found in states including Vermont, […]

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    September 8, 2014 | Filed under: Delivery System Reform, State Health Policy Blog

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    Using Payment Policies to Support Primary Care – Behavioral Health Integration in Medicaid

    Many states are developing and implementing strategies for integrating behavioral health with primary care. Integrated care improves patients’ access to behavioral health services, attendance at scheduled appointments, satisfaction with care, and adherence to treatment. Minority populations in particular are more likely to seek mental health treatment from primary care practitioners than from mental health specialists. […]

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    August 29, 2014 | Filed under: Behavioral Health, Medicaid, State Health Policy Blog

  • State Health Policy Blog

    State Strategies for Improving Maternal and Infant Care

    Low birth weight and preterm birth carry substantial human and financial costs; they also are associated with health problems that can have long-lasting effects. Renewed state and national commitment to improving birth outcomes and the quality of maternal and infant care are evident in states across the country as well in federal initiatives such as […]

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    Creating the Perfect Storm for Community-Based Prevention

    by Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions April 2014 The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of […]

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    Medicaid Managed Care for Children and Youth with Special Health Care Needs

    by Joanne Jee February 2014 Where some may see opportunities for improved delivery and coordination of care and cost savings, others may wonder about possible disincentives for providing the full array of needed services. For more vulnerable populations, such as children and youth with special health care needs (CYSHCN), the concerns can be heightened.  

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