Delivery System Reform

England States Consortium Systems Organization’s Elena Nicolella and the Milbank Memorial Fund’s Christopher F. Koller say that CMS leadership will need to consider the health information technology support and tools that state Medicaid agencies will need to be full partners in these efforts. More

Like one of those impressive but forlorn polar bears pacing back and forth on a shrinking ice floe, much of primary care practice seems trapped in a fee-for-service payment system that’s bobbing in the ever-expanding sea of our health care economy. More

Most state Medicaid OUD care delivery innovations can be categorized into two main areas: 1) health homes and 2) warm handoffs and care transitions. This brief provides an overview of these approaches and offers recent examples from state Medicaid programs. More

Scaling up the role of community health workers (CHWs), which is essential for the future of U.S. public health, economic recovery, and social justice, requires significant workforce development to address the lack of a CHW career pipeline and high rates of turnover. Yet, little evidence exists to guide this work. More

This issue brief summarizes the current landscape of payment reform initiatives addressing SDoH, drawing on results from a systematic review of peer-reviewed and gray literature supplemented with scans of state health policies and proposed payment reform models. More

This primer examines the financial and policy levers available to states to encourage MCOs to provide care in home- and community-based settings. More

Since the advent of the patient-centered medical home and team-based care concepts, health reformers have sought to unearth the specific interventions and techniques in primary care settings that are most likely to improve patient outcomes and value. More

The 988 designation is a federal designation of the need for easier access to behavioral health crisis services and part of a trend for strengthening the continuum of behavioral health care to include a wide array of community-based services, as well as inpatient services through public and private hospitals. More

A slideshow with highlights from a Milbank Quarterly review examining 16 of Medicare’s payment programs for hospital-initiated episodes. More