High-Priced Drugs and Medicaid: SMART-D Releases First Report on Alternative Payment Models for Prescription Drugs Within State Medicaid Programs

September 21, 2016

The Center for Evidence-based Policy (CEbP) is making progress on SMART-D, the State Medicaid Alternative Reimbursement and Purchasing Test for High-Cost Drugs. Earlier this month, the SMART-D group released a report examining the landscape of Medicaid drug purchasing, specifically focusing on state Medicaid programs’ ability to pursue alternative payment models. The SMART-D Summary Report suggests that multiple opportunities exist to help improve patient access to evidence-based therapies while allowing states to predict and manage prescription drug costs. A new website,, was also launched.


ISSUE BRIEF: Coordinating Access to Services for Justice-Involved Populations

August 11, 2016

State policymakers continue to look for ways to improve responses for people with behavioral health and substance abuse conditions. The challenges to providing supports for individuals with these conditions who interact with the criminal justice system are particularly acute. This issue brief, commissioned by the Reforming States Group and written by the Center for Health Care Strategies, examines how innovative players at the intersection of health and corrections are providing interventions to ensure access to physical and behavioral health services as justice-involved individuals transition into their communities. It provides examples from promising programs around the country, demonstrating ways in which states and local jurisdictions have improved health outcomes and reduced recidivism for the justice-involved.

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Celebrating Avedis Donabedian’s Seminal Article Published 50 Years Ago in The Milbank Quarterly

July 28, 2016

Events and publications have marked the 50th anniversary of the publication of Avedis Donabedian’s seminal article on quality measurement. Donabedian, a professor at the University of Michigan School of Public Health, published the paper, “Evaluating the Quality of Medical Care,” in The Milbank Quarterly in 1966—and his structure- process-outcome framework for health care quality measurement has guided generations of health care researchers and practitioners since then.