Delivery System 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 […]

Read More
  • 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 […]

    Read More
    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 […]

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

  • State Health Policy Blog

    Don’t Take Your Eyes Off Vermont:
    Gobeille v. Liberty Mutual Insurance Company

    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 […]

    Read More
  • Publications

    Building An Equitable Health Care Delivery System: Considerations For State And Federal Policymakers

    Health disparities persist in the United States, with disadvantaged groups disproportionately bearing the burden of poor health outcomes and shortened lifespans. States cannot effectively control healthcare costs or improve quality without addressing health disparities. Fortunately, state and federal policymakers can work together to build an equitable health care delivery system by aligning payment models, creating […]

    Read More
    March 23, 2015 | Filed under: Delivery System Reform, Publications

  • Publications

    The Affordable Care Act: Affording Two-Generation Approaches to Health

    This publication offers the first comprehensive look at the opportunities in the Affordable Care Act (ACA) to drive better outcomes for children and parents together.

    Read More
  • State Health Policy Blog

    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, […]

    Read More
    September 8, 2014 | Filed under: Delivery System Reform, 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 […]

    Read More
  • Publications

    Transforming the Workforce to Provide Better Chronic Care: The Role of Nurse Care Managers in Rhode Island

    Part 1 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. Chronic illnesses are responsible for more than three-quarters of health care spending and 7 out of 10 deaths in the United States—and nearly half of all Americans have at […]

    Read More
  • Publications

    Shared Resources to Sustain Primary Care Transformation

    Primary care practices transitioning to enhanced models of primary care require ongoing support to sustain their transformation efforts. Small and medium-sized practices in particular can benefit from shared resources facilitating care coordination and case management, use of data and technology, and ongoing practice improvement. This State Health Policy Briefing outlines key elements of a shared […]

    Read More