Delivery System Reform

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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  • Publications

    A Federal-State Discourse on Maintaining Momentum for Payment and Delivery System Reform

    States and the federal government have been undertaking an almost bewildering array of policy initiatives and experiments in an effort to improve value and reduce costs in the health care system. What are we accomplishing and learning from these efforts? And what’s needed to sustain and advance the most promising strategies? In July 2016, a group […]

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    September 20, 2016 | Filed under: Delivery System Reform, Front Page, Publications

  • Publications
    Treatment for Children with Autism Spectrum Disorders and the EPSDT Benefit

    Treatment for Children with Autism Spectrum Disorders and the EPSDT Benefit

    State Medicaid agencies are working to provide comprehensive health care services for children with autism spectrum disorder (ASD), currently the fastest growing developmental disability in the United States for individuals under age 21. This brief highlights information from the 2014 CMS Informational Bulletin providing clarification on services to be provided to Medicaid-eligible children with ASD […]

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  • Federal-State Discourse on Maintaining Momentum for Payment and Delivery System Reform

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    August 23, 2016 | Filed under: Charts, Delivery System Reform

  • Enhancing Care Quality for Medicaid Beneficiaries Living with HIV/AIDS: New NASHP Case Studies

    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

    In the Zone: State Strategies to Advance Health Equity by Investing in Community Health

    In the wake of national health care reform, many states are transforming their health care delivery systems to improve the health of populations while controlling costs. Reducing health disparities—and addressing the social and economic conditions driving them—is at the heart of many of these efforts. Embedded within larger statewide system transformations such as enhanced primary […]

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  • Publications

    State Levers to Advance Accountable Communities for Health

    States are testing a myriad of models that strive to achieve the Triple Aim objectives of improved care, reduced health care costs, and better health. Though several statewide health care delivery and payment system reforms have been shown to help slow the growth of health care expenditures and improve methods for delivering health care, taken […]

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  • Publications

    Understanding Medicaid Claims and Encounter Data and Their Use in Payment Reform

    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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  • Webinars

    Incorporating Delivery System Reform Incentives into Medicaid Waivers: State and Federal Perspectives

    Date: Monday, November 23, 2015 Time: 12:30pm-2:00pm Eastern View Webinar Here Download Webinar Slides States are increasingly exploring Delivery System Reform Incentive Payment (DSRIP) and DSRIP-like programs as a mechanism to incentivize system transformation and quality improvements in hospitals and other providers that serve high volumes of low-income patients. Operating under the authority of Section […]

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    October 21, 2015 | Filed under: Delivery System Reform, Webinars

  • Publications

    State Experiences Designing and Implementing Medicaid Delivery System Reform Incentive Payment (DSRIP) Pools

    Several states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]

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    June 1, 2015 | Filed under: Delivery System Reform, Medicaid, Publications