With support from Arnold Ventures, the National Academy for State Health Policy (NASHP) is collaborating with leading states in their efforts to transform their health systems by pursuing payment and delivery system reforms through population-based global budgets, value-based payments, and investments in primary care to help ensure patient access to high quality care.  

Many states are looking to move away from the health system’s current reliance on fee-for-service, utilization-driven payment and are pursuing reforms that incentivize improving population health and provide predictable funding to providers in ways that also contain costs. This project aims to assist states in progressing their unique health system transformation efforts toward the overarching goals of better health access and outcomes and minimized cost growth. Some states are pursuing Centers for Medicare & Medicaid Services’ (CMS) Innovation Center models, such as the States Advancing All-Payer Health Equity Approaches and Development (AHEAD) and Making Care Primary (MCP) Models, while others are designing state-specific initiatives.  

NASHP will document and disseminate lessons learned from state policy approaches, as well as gather interested parties in strategic state-only convenings. This toolkit serves as a repository for relevant materials and resources.