families usa health action conference, 2010 state opportunities in health reform sonya schwartz...
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Families USAHealth Action Conference, 2010
State Opportunities in Health Reform
Sonya SchwartzProgram Director
National Academy for State Health PolicyJanuary 29, 2010
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Families USAHealth Action Conference, 2010
Outline
I. States’ Current Roles
II. Challenges for States in Implementing Health Reform
III. Opportunities for States in Implementing Health Reform
IV. Advocates Have an Important Role
V. NASHP Resources Can Help
Families USAHealth Action Conference, 2010
States’ Current Roles
• Define populations to serve• Link residents to available
services• Determine benefits and
design delivery systems for targeted populations
• Purchase healthcare services
• Deliver services to institutional residents
• Promote population health
• Promote system-wide improvement
• Educate and train healthcare professionals
• Protect consumers• Finance• Regulate• Employ• Establish legal framework• Coordinate with related
programs
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Families USAHealth Action Conference, 2010
Health Reform: State Challenges
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Timing
Capacity
Resources
Leadership
Families USAHealth Action Conference, 2010
Health Reform: State Opportunities
• Connect people to needed services
• Promote coordination and integration in the health system
• Improve care for populations with complex needs
• Orient the health system toward results
• Increase health system efficiencies
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Families USAHealth Action Conference, 2010
Connect People to Services
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• Coverage based on income and not family status
• Investments in primary care and prevention
• Assistance in navigating health care system
Families USAHealth Action Conference, 2010
Promote Coordination and Integration
• Streamlined enrollment and retention in programs
• Improved continuity of care across programs as income changes
• New authority to align Medicaid and Medicare
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Families USAHealth Action Conference, 2010
Improve Care for Complex Needs
• Improved access to home and community-based services
• Expansion of patient-centered medical homes• Investments in secondary prevention for the
newly insured
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Families USAHealth Action Conference, 2010
Orient Health System toward Results
• Payment reform demonstrations across programs
• Improved data collection and coordination
• Quality measurements in Medicaid
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Families USAHealth Action Conference, 2010
Increase Efficiency
• Limit administrative costs
• System-wide planning across agencies and programs
• Opportunities to allocate resources to higher-value care
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Families USAHealth Action Conference, 2010
Advocates Have an Important Role
• “Organizing” and expertise of advocates needed more than ever
• States will have unprecedented need for help:– Information and analysis– Strategic/implementation planning– Topic specific technical assistance– Convening stakeholders– Development of new models
• Take risks, share information, allow for mid-course corrections
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Families USAHealth Action Conference, 2010
NASHP Resources Can Help
1. A State Policymakers’ Guide to Federal Health Reform – Part I: Anticipating How Federal Health Reform will Affect State Roles
2. State Policymakers’ Priorities for Improving the Health System
3. Supporting State Policymakers’ Implementation of Federal Health Reform
More tools and resources in development, stay tuned at: www.nashp.org
or email: [email protected]