Payment Reform

Increasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care […]

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  • Publications

    Aligning Federal and State Efforts on Payment Reform

    The federal government and states are exploring new strategies for rewarding value in order to achieve better health outcomes at a lower cost. This report—the second in a series supported by The Commonwealth Fund to explore opportunities for improvement in federal and state policy— highlights relevant policy levers that can support payment reform and a […]

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    October 31, 2013 | Filed under: Payment Reform, Publications

  • Publications

    Five Key Strategies to Engage Health Care Payers and Purchasers in a Multi-Payer Medical Home Initiative

    One of the most critical steps in developing and implementing a multi-payer medical home initiative is securing health care payer and purchaser participation. This new NASHP brief discusses five overarching strategies that conveners can use to make the case: building trust among competitors; leveraging existing infrastructure; using the market to drive demand; striking the balance […]

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    September 17, 2013 | Filed under: Payment Reform, Primary Care and Medical Homes, Publications

  • Webinars

    Aligning Federal and State Approaches to Integrating Primary Care and Community Resources

    Monday, December 9, 2013 12:30-2pm EST View Webinar Here Join NASHP for a webinar on aligning federal and state programs and policies to support building stronger linkages between primary care and resources and services within the community, including behavioral, public health, long-term services and socio-economic supports. State leaders from Alabama and Rhode Island will describe […]

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  • Webinars

    Payment and Delivery System Reform: It’s All About the Data, States!

    For states and their partners seeking a better integrated delivery system through multipayer reform initiatives, effective use of data is the foundation, the “building” itself, and roof above. Easier envisioned than done, data can help participants in multi-payer initiatives offer constructive feedback on performance to providers, distribute rewards in value-based payment systems, and hold system […]

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    July 24, 2013 | Filed under: Payment Reform, Webinars

  • Webinars

    State Strategies to Expand Access to Care Through Safety Net Providers

    Safety net providers can be valuable partners for states looking for ways to expand access to individuals newly eligible for coverage under the ACA. Join New Hampshire Medicaid Director Katie Dunn for this 60-minute webinar which will share findings from a new NASHP report and feature speakers from an innovative Los Angeles school-based health center […]

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    July 15, 2013 | Filed under: Payment Reform, Webinars

  • Webinars

    Health Care Price Transparency: Lessons from Three High Performing States

    National media in recent months have featured the high and variable costs of common health care services. In this webinar you’ll hear from leaders in Virginia, Massachusetts, and New Hampshire on what they’ve done to address the issue and improve price transparency. In a recent report, Catalyst for Payment Reform (CPR) and the Health Care Incentives Improvement […]

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  • State Health Policy Blog

    Tooling Up For Multi-Payer System Transformation

    By Sarah Kinsler May 2013 Momentum is building at the state level for multi-payer payment and delivery system transformation. Across the country, states like Maine, Arkansas, and Oregon are partnering with commercial insurers and other stakeholders to pursue Triple Aim goals. NASHP’s new Multi-Payer Resource Center, supported by The Commonwealth Fund, will help them succeed.

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  • Toolkits

    Multi-Payer Resource Center

    Public-private multi-payer pilots are unique opportunities to support high-performing delivery systems by creating alignment around payment, reporting, and infrastructure investments. Multi-payer projects benefit both payers and providers: Multi-payer projects spread transformation costs among all payers seeking to improve both quality and costs, creating a shared incentive to build essential infrastructure for delivery system improvement. In […]

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    March 29, 2013 | Filed under: Payment Reform, Primary Care and Medical Homes, Toolkits

  • Webinars

    Strategies for Payment Reform in States: Selecting Innovative Models

    Download Slides   States, in their capacities as payers, purchasers, and regulators, have a key role to play in shifting to payment structures that reward high quality care and reduce the volume incentives inherent in fee-for-service reimbursement. Payment reform, particularly when multiple payers work together, offers the potential not only for promoting value in health […]

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    February 27, 2013 | Filed under: Delivery System Reform, Payment Reform, Webinars