After decades of focusing on either improving the delivery of health care or reducing costs—and often experiencing conflicts between the two—many state policymakers now recognize that both strategies must be integrated to be effective. That's especially the case in Colorado, Minnesota, and Vermont, where state Medicaid officials are pioneering innovative health care payment and delivery system reforms, as described in a new series of case studies. Visit commonwealthfund.org to download the series overview How Colorado, Minnesota, and Vermont Are Reforming Care Delivery and Payment to Improve Health and Lower Costs and the in-depth state case studies.