Publication Topic

Delivery System Reform

Content Type:

  • Developing Sustainable Community Health Worker Career Paths

    Publication

    Developing Sustainable Community Health Worker Career Paths

    March 2021 Olenga Anabui Tamala Carter Matthew Phillippi Dominique G. Ruggieri Shreya Kangovi

    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

  • How Are Payment Reforms Addressing Social Determinants of Health? Policy Implications and Next Steps

    Publication

    How Are Payment Reforms Addressing Social Determinants of Health? Policy Implications and Next Steps

    February 2021 Hannah L. Crook James Zheng William K. Bleser Rebecca G. Whitaker Jasmine Masand Robert S. Saunders

    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

  • Strategies to Encourage Home- and Community-Based Care through Value-Based Contracting in Managed Care

    Publication

    Strategies to Encourage Home- and Community-Based Care through Value-Based Contracting in Managed Care

    January 2021 Allyson Evans Valerie King

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

  • What Makes Michigan’s High-Performing Primary Care Practices Work Well?

    Blog Post

    What Makes Michigan’s High-Performing Primary Care Practices Work Well?

    January 2021 Diane Marriott Jerome Finkel

    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” Opportunity: Improving Our Response to Behavioral Health Crises

    Blog Post

    The “988” Opportunity: Improving Our Response to Behavioral Health Crises

    November 2020 Rachel Block

    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

  • Medicare’s Bundled Payment Initiatives: Evidence for Evolution

    News Article

    Medicare’s Bundled Payment Initiatives: Evidence for Evolution

    September 2020

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

  • Patient Engagement: Make It Real

    Blog Post

    Patient Engagement: Make It Real

    September 2020 Robert M. Hayes

    Patient engagement in the governance of health care organizations is important to the competent delivery of high-quality health care. More

  • Blog Post

    A Decade of Commitment to Primary Care Transformation Is Starting to Yield Positive Results

    July 2020 Lisa Dulsky Watkins

    Lisa Dulsky Watkins, MD, summarizes the key findings of a recent brief on three value-based primary care programs involving Arkansas Blue Cross and Blue Shield. More

  • Value-Based Primary Care: Insights from a Commercial Insurer in Arkansas

    Publication

    Value-Based Primary Care: Insights from a Commercial Insurer in Arkansas

    July 2020 Clare C. Brown J. Mick Tilford Alicia Berkemeyer Victor Davis Adam Whitlock

    This issue brief looks at data from three Arkansas Blue Cross and Blue Shield value-based primary care programs, finding reduced beneficiary spending, as well as a 2:1 return on investment. More

  • A Nursing Home Alternative

    Blog Post

    A Nursing Home Alternative

    July 2020 Terry Fulmer Christopher F. Koller

    The COVID-19 crisis is driving an all-out call for major public policy changes in nursing homes. In a new blog post copublished with The John A. Hartford Foundation (JAHF), JAHF President Terry Fulmer and Milbank Memorial Fund President Christopher F. Koller go a step further, envisioning the end of the nursing home industry itself. More