Vermont

More than a dozen states are developing accountable health models to improve population health and control costs by addressing community needs, such as transportation, recreation, and housing. These entities’ mission — to build healthy communities through cross-sector partnerships — is supported by innovative and evolving governance structures. This NASHP chart and a companion blog highlight […]

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  • How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents

    How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents

    To encourage investments in population health, states are increasingly using levers available in their managed care and value-based contracts to address social determinants of health, such as housing and employment. With support from the Robert Wood Johnson Foundation, the National Academy for State Health Policy examined Medicaid contracts and contract guidance documents in 11 states […]

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  • Publications
    An Early Look at Vermont’s Value-Based, Multi-Payer “Next Gen” Model, Designed to Lower Costs and Improve Population Health

    An Early Look at Vermont’s Value-Based, Multi-Payer “Next Gen” Model, Designed to Lower Costs and Improve Population Health

    By Robin Lunge, JD, MHCDS Robin Lunge is a member of Vermont’s Green Mountain Care Board, which regulates health insurance rates, hospital budgets, and accountable care organizations. In this brief, she explores how the state’s transformation from a fee-for-service payment system to a value-based, multi-payer model designed to curb health care spending and improve care […]

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  • State Health Policy Blog
    Four More States Submit Bills to Import Prescription Drugs from Canada

    Four More States Submit Bills to Import Prescription Drugs from Canada

    As states pursue a wide range of legislation to address rising drug costs, four more states have joined Utah and Vermont to introduce bills to import prescription drugs from Canada through a state-run, wholesale operation. This market-based approach to providing more affordable medicines from Canada, where prescription drugs cost on average 30 percent less than […]

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  • Publications,State Health Policy Blog

    States Develop New Approaches to Improve Population Health Through Accountable Health Models

    In this time of changing federal health priorities, state health policymakers play a crucial role in breaking the cycle of poverty and inequity so everyone can live healthy, prosperous lives. Many state leaders, with federal support, are implementing community-wide prevention initiatives that acknowledge that health is affected by factors that extend beyond clinical care. Policymakers […]

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  • State Health Policy Blog

    SIM Round One Test States Expand Value-Based Payments in Medicaid, and in Some Cases, Beyond

    The Centers for Medicare & Medicaid Services (CMS) recently released its third annual evaluation of the State Innovation Model (SIM) Round One Test States, which analyzes the ability of states to use policy and regulatory levers to drive statewide health care transformation. The evaluation, completed by a team of researchers from RTI International, the Urban […]

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    September 26, 2017 | Filed under: Blog Posts, Front Page, Maine, Minnesota, State Health Policy Blog, Vermont

  • State Health Policy Blog
    Lowering Drug Costs: Transparency Legislation Sets Off Flurry of New State Approaches

    Lowering Drug Costs: Transparency Legislation Sets Off Flurry of New State Approaches

    Responding to rapidly rising drug costs, 30 states across the country have drafted more than 60 drug price transparency bills designed to: Identify the costs that contribute to drug manufacturer expenses and list prices And unveil the often opaque business practices of pharmacy benefit managers (PBMs). In addition to promoting pricing transparency, as of early […]

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  • Issuers Hold Steady in State-based Exchange States

    On Monday, July 10th, the Centers for Medicare and Medicaid Services (CMS) released a tally of issuer submissions to offer individual market coverage through the Federally-facilitated Exchange. The National Academy for State Health Policy (NASHP) conducted an analysis of preliminary rate filings for states that have opted to run a State-based Exchange (SBE), finding that […]

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  • Where the Trails Meet: Blending and Braiding Funds for Improved Population Health

    Wednesday, October 25th 9:15AM-10:45AM Under a new Administration, there has been increased focus on the need for more flexible federal funding for state health programs. This session examines the implications of braiding, blending, or block granting traditional Medicaid and public health funding streams to support population health goals. Speakers share their own states’ braiding and […]

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  • State Health Policy Blog

    As Federal Leaders Debate, Open Enrollment is in Full Swing

    Post-election, federal leaders are debating changes to the ACA (Affordable Care Act) and whether it will continue in light of the goals put forth by the incoming Administration. Meanwhile, open enrollment for the health insurance marketplaces is in full swing, with some states reporting increased or record enrollment figures during these first weeks of enrollment […]

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