All Innovations

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Maryland: All-Payer Approach to Nonpayment

January 14, 2010 - Since 1971, Maryland has maintained a unique hospital payment system in which all payers—public and private—pay the same rates for the same service at a given hospital. This approach was enacted by the Maryland legislature following a period of rapidly rising hospital costs and serious financial losses by hospitals treating large numbers of uninsured patients.

State Profile

Missouri: Focus on Nonpayment for Adverse Events

January 14, 2010 - Nonpayment for adverse events is the focus of Missouri's payment reform. Its Medicaid program, MO Healthnet, instituted a nonpayment policy for preventable serious adverse events and hospital or ambulatory surgical center–acquired conditions on June 30, 2009.

State Profile

Kansas: Medicaid Mirrors Medicare Policy on Adverse Events

January 14, 2010 - The Kansas Medical Assistance Program, the state's Medicaid program, designed its nonpayment policy to mirror Medicare's policy; as of January 2009, Medicaid does not reimburse providers for the CMS list of hospital-acquired conditions.

State Profile

New York: State and City Innovations to Scale Up Health IT

November 4, 2009 - Since 2006, New York State has awarded $226 million in public funds to develop and implement a comprehensive health information infrastructure—more than in all other states combined.

State Profile

Arizona Medical Information Exchange Outgrows Medicaid

November 4, 2009 - The Arizona Medical Information Exchange is a Web-based health information exchange that enables participating practitioners to view hospital discharge and other clinical reports, lab test results, and medication data for many of their patients.

State Profile

Delaware: First State, First Statewide Health Information Exchange

November 4, 2009 - Delaware established the first statewide clinical health information exchange (HIE) in 1997. Compared with other states, it has taken more of a public sector approach to HIE governance, though this strategy may be shifting.

State Profile

Maryland: Increasing Adult Eligibility While Cutting the Budget

August 28, 2009 - Maryland recently began expanding Medicaid coverage to low-income parents and expanding health benefits to low-income childless adults as part of a larger set of health reforms aimed at reducing the number of uninsured, improving the quality of care, and containing costs.

State Profile

Maryland: Using Tax Forms to Identify Eligible Kids

August 28, 2009 - Under the 2008 Maryland Kids First Act, Maryland is using state income tax forms to identify families with children who may be uninsured and eligible for Medicaid or CHIP and sending them information about how to enroll.

State Profile

Wisconsin: Strategies for Increasing Coverage Eligibility and Enrollment

August 28, 2009 - In February 2008, Wisconsin launched a health reform effort with three goals: provide universal coverage for children, simplify existing public programs, and remove barriers to stable coverage for families.

State Profile

Massachusetts: Connecting Health Coverage to Public Health

July 13, 2009 - With its 2006 landmark health reform resulting in more than 400,000 newly insured residents, Massachusetts is building public health into numerous efforts to contain costs and improve quality in the health care system.

State Profile

Minnesota: Community Action Plans and Health Care Homes

July 13, 2009 - Minnesota's 2008 Health Reform bill has four elements intended to work together: population health, health care market transparency and enhanced information about the quality and cost of care, payment reform, and consumer engagement.

State Profile

Vermont: Community Care Teams and Health IT

July 13, 2009 - Vermont's Blueprint for Health is a statewide, public–private initiative designed to reduce the health and economic impacts of common chronic conditions.

State Profile

Parkwest Medical Center: Focusing on Patient and Staff Satisfaction

May 26, 2009 - Eighty-seven percent of patients recently discharged from Parkwest Medical Center said they would recommend the hospital to a family member or friend—a patient satisfaction level 19 percentage points higher than the national average.

Case Study

Child Health Services: A Framework for States

April 21, 2009 - The Child Health and Development Institute of Connecticut has released a report, A Framework for Child Health Services: Supporting Healthy Child Development and School Readiness of Connecticut's Children, that offers a strategic vision and a series of specific recommendations for strengthening and integrating children's health services into a comprehensive system of early childhood services.


Idaho's Plans to Improve Access in Troubled Times

April 21, 2009 - Idaho Governor C. L. "Butch" Otter (R) discussed difficult choices during our "troubled times" in his January 12 "State of the State" address. He proposed a 7.5 percent budget cut for the state's Department of Health and Welfare, along with even greater cuts in other state agencies.

State Profile