Panel Paper:
Using Evidence-Based Interventions to Drive Delivery System Transformation Efforts: TA Support to States Center for Health Care Strategies
Thursday, November 3, 2016
:
3:20 PM
Columbia 10 (Washington Hilton)
*Names in bold indicate Presenter
The Center for Health Care Strategies (CHCS), a resource center for publicly financed health care, has partnered with nearly every state in the country to promote innovations Medicaid and Medicare, especially for individuals with complex, high-cost needs. CHCS brings together state and federal agencies, health plans, providers, and consumer groups to advance evidence-based models of organizing, financing, and delivering health care services. Areas of focus include health care coverage and access; delivery system and payment reform; and integrated services for people with complex long-term, physical and behavioral health care needs. CHCS supports states in their efforts by providing technical assistance (TA) to assist states in testing and evaluating whether delivery system innovations can improve care and lower costs in Medicare, Medicaid, and CHIP. This paper will highlight several efforts underway aimed at supporting states with their delivery system innovations, identifying and disseminating resources that will help states to better achieve their reform goals.
More specifically, this paper will explore examples of evidence-based research, resources, and strategies provided to states in support of their efforts to:
• Integrate primary care with behavioral, long-term, social, and public health services and supports;
• Launch payment reform efforts, including multi-payer engagement and alignment;
• Provider, community, and consumer engagement;
• Enhance health promotion and disease prevention efforts.
Using examples of direct assistance provided to a range of states under several initiatives, we will discuss how TA support is helping states to understand the gamut of policy and program options related to various delivery system and payment models, as well as viable strategies to address complex implementation challenges, and approaches to sustain such efforts. We will highlight the range of TA tools used with states, including a menu of policy options around payment models and strategies for structuring such models; comprehensive briefs highlighting state approaches to operationalizing and supporting community care teams, state-to-state exchanges on leveraging MCO contracts to increase value-based purchasing within Medicaid; and strategies for integrating services for high-need and high-cost populations.
We will also discuss the importance of TA to both present and synthesize emerging best practices in a field where research and evidence is still emerging for some of these transformative models.
More specifically, this paper will explore examples of evidence-based research, resources, and strategies provided to states in support of their efforts to:
• Integrate primary care with behavioral, long-term, social, and public health services and supports;
• Launch payment reform efforts, including multi-payer engagement and alignment;
• Provider, community, and consumer engagement;
• Enhance health promotion and disease prevention efforts.
Using examples of direct assistance provided to a range of states under several initiatives, we will discuss how TA support is helping states to understand the gamut of policy and program options related to various delivery system and payment models, as well as viable strategies to address complex implementation challenges, and approaches to sustain such efforts. We will highlight the range of TA tools used with states, including a menu of policy options around payment models and strategies for structuring such models; comprehensive briefs highlighting state approaches to operationalizing and supporting community care teams, state-to-state exchanges on leveraging MCO contracts to increase value-based purchasing within Medicaid; and strategies for integrating services for high-need and high-cost populations.
We will also discuss the importance of TA to both present and synthesize emerging best practices in a field where research and evidence is still emerging for some of these transformative models.
