1. 1 Neva Kaye National Academy for State Health Policy SIM Annual Meeting Augusta, ME March 4, 2015 Sustaining Momentum in Multi-Payer Payment Reform

2. NASHP  26-year-old non-profit, non-partisan organization  Offices in Portland, Maine and Washington, D.C.  Academy members  Peer-selected group of state health policy leaders  No dues—commitment to identify needs and guide work  Working together across states, branches and agencies to advance, accelerate and implement workable policy solutions that address major health issues 2

3. 3 WA OR TX CO NC LA PA NY IA VA NE OK AL MD MT ID KS MN NH ME AZ VT MO CA WY NM IL WI MI WV SC GA FL UT NV ND SD AR IN OH KY TN MS DE RI NJ  CT MA HI Participating in Multi-payer Advanced Primary Care Practice Demonstration (8: ME, MI, MN, NY, NC, PA, RI, VT) Participating in Comprehensive Primary Care Initiative (CPCi) (7: AR, CO, NJ, NY, OH, OK, OR) Multi-Payer PCMH Activity AK ★ ★ SOURCE: National Academy for State Health Policy. “Medical Home and Patient-Centered Care.” Available at: www.nashp.org/med-home-map.www.nashp.org/med-home-map Multi-payer planning activity underway (3) Multi-payer payments to medical homes underway (18)  ★ ★★ ★ ★ ★ ★ ★      As of June 2014

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5. 5 6 Recommendations Drawn from observation and interviews with stakeholders in multi-payer initiatives

6. Every program needs a home Montana

7. Stakeholders must own the initiative Michigan Nebraska

8. Financial sustainability requires tenacity Idaho

9. Support and reward continued improvement Maryland

10. Prove value and improve program Vermont

11. Keep looking to the future Maine

12. Remember 12