Payment Reform

State policymakers must often take action during an emerging crisis even when evidence identifying the best policy approach is not be available. This report, Evidence-Based Policymaking Is an Iterative Process: A Case Study of Antipsychotic Use among Children in the Foster Care System, explores successful state responses to dramatic increases in antipsychotic prescription rates in Medicaid-enrolled children […]

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  • State Health Policy Blog
    Guest Blog: Massachusetts Report Recommends More Health Care Price Transparency and Simpler Payment Methods

    Guest Blog: Massachusetts Report Recommends More Health Care Price Transparency and Simpler Payment Methods

    Amara Azubuike and Sandra Wolitzky are assistant attorneys general in the Massachusetts Office of the Attorney General. A new report released in October 2018 by Massachusetts Attorney General Maura Healey finds that complicated and varied methods used to determine health care payment rates contribute to administrative cost increases and make it difficult for market participants […]

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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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  • FQHC Readiness

    FQHC Readiness

    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 FQHC readiness and practice transformation discusses key considerations and promising strategies based on lessons learned from states during NASHP’s Value-Based Payment Reform […]

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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

    State Medicaid Payment Reform Strategies Promote Improved Birth Outcomes

    Improving birth outcomes, including reducing infant mortality, is a priority for state Medicaid agencies that finance nearly half of all births each year. Three states have proven to be creative and effective laboratories in developing initiatives that use Medicaid payment and delivery reform strategies to lower costs, improve access to postpartum care, reward high-quality care, […]

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  • Rapidly Transforming Delivery Systems

    Tuesday, October 24th 3:30PM-5:00PM States are now undertaking a myriad of transformation initiatives to rapidly revamp, strengthen, and sustain their Medicaid delivery systems. Session speakers, including Medicaid directors from Massachusetts and New Hampshire and a Medicaid and CHIP Payment and Access Commission representative, provide an overview of the delivery system reform landscape and share lessons […]

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  • Reaching the Summit: Trekking Towards Value-Based Payment

    Wednesday, October 25th 9:15AM-10:45AM Today, many states have had significant experience developing value-based payment models for various provider types and patient populations, but is value-based purchasing making an impact on the Triple Aim of higher health care quality, lower costs, and improved patient experiences? Many states have prioritized value-based purchasing in an effort to drive […]

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    June 6, 2017 | Filed under: 2017 Conference, Colorado, Oklahoma, Payment Reform, Tennessee

  • State Health Policy Blog

    The New Substance Use Disorder Confidentiality Rules: A Work in Progress

    The Substance Abuse and Mental Health Services Administration (SAMHSA) recently issued a highly anticipated update to 42 CFR Part 2, the regulation that governs sharing patient information by federally-designated substance use disorder (SUD) providers. The rule is timely: SUD has become a major cost driver, and many state policymakers are focused on the integration of […]

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  • Primary Care Provider Burnout: What States Need to Know and What They Can Do About It

    Provider burnout is widespread and becoming more pervasive over time. Using the experience of the Heart of Virginia Healthcare (HVH) as a lens, this webinar addresses the scope and impact of provider burnout, why states should care, and what states can do about it. HVH is one of seven regional cooperatives reaching 1500 primary care practices nationwide as part […]

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