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...
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Conducting the Orchestra of Multi-Payer Payment Reform: Achieving Harmony in...
Imagine an orchestra filled with providers and plans each playing its own tune to move towards value-based payment to incentivize better care and health. Alone, each tune is recognizable. But without...
View ArticlePayment Reform
Many states are developing and implementing payment reform initiatives to help improve the patient experience and the health of populations while lowering the costs of care. Payment reform efforts...
View ArticleAddressing and Reducing Health Care Costs in States: Global Budgeting...
In the five years since the passage of the Affordable Care Act (ACA), 17 states and the District of Columbia have created health insurance exchanges and 30 states and the District have expanded their...
View ArticleVermont Takes Next Step in Global Budgeting: Releases All-Payer Model
We recently published a brief on efforts underway in Maryland, Massachusetts, and Vermont to develop and implement global budgeting. Last week, Vermont took the next step, releasing an overview of its...
View ArticleEngaging Self-Insured Employers in Multi-Payer Reform: Lessons from Arkansas...
Self-insured employer participation in multi-payer payment reform is critical for providers to receive consistent messages across payers—an important step toward fostering widespread improvement. A...
View ArticleValue-Based Payment Academy: Advancing Value-Based Payment Methodologies for...
Request for Applications NASHP is pleased to announce it is convening a Value-Based Payment Reform Academy. The goal of this academy is for selected states to develop and implement value-based...
View ArticleValue-Based Payment Reform Academy – Frequently Asked Questions
Technical Assistance How many hours of technical assistance can a state receive? NASHP does not place restrictions on technical assistance. In addition to the individual monthly calls for each state...
View ArticleUnderstanding 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...
View ArticleOverview of State Programs that Utilize an Assessment of Self-Funded ERISA...
As described in a recent NASHP blog, the Supreme Court’s decision in Gobeille v Liberty Mutual, which denied the state’s ability to mandate claims submission from self-funded ERISA health plans, may...
View ArticleManaging Medicaid Managed Care: New State Strategies to Promote...
As the scope of State Medicaid agencies becomes wider and more complex, states are increasingly turning to managed care organizations (MCOs) to cover Medicaid enrollees, including those with complex...
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