Charting the road to coverage. Enhancing value in health care.

The Robert Wood Johnson Foundation is committed to ensuring everyone in America has quality, affordable health insurance and access to high-quality care. To support improvements to systems of care and coverage, the Foundation funds robust programs that provide expert technical assistance to states across the country.

State Health Reform Assistance Network

The State Network supports states as they implement coverage provisions of the Affordable Care Act, giving more Americans access to quality, affordable health insurance.

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State Health and Value Strategies

State Health and Value Strategies (SHVS) supports states’ efforts as they work to improve population health and reform the delivery of health care services.

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Our Most Recent Work

February 2, 2016

1332 Waivers Resource Library

The State Network serves as a resource for states interested in Section 1332 waivers, also known as State Innovation Waivers, which are shaping up to be an important opportunity for states reaching toward the goal of expanded coverage. We'll continue to provide analysis and other materials, updating this post as more becomes available.
Dec 23, 2015 Report , Templates & Toolkits

Since the passage of the Affordable Care Act (ACA), thirty states plus the District of Columbia have expanded Medicaid, providing a substantial base of evidence for the impact of Medicaid expansion, from a variety of perspectives. Data available from these states and a growing research base provide key information about the benefits and the strategic value of expansion.
Jan 26, 2016 Issue Brief

With states increasingly moving to develop population-based payment arrangements with provider organizations, the critical role of safety-net providers has become a challenging consideration for states. While safety-net providers typically lack the capital, experience, and/or scale to operate as an Accountable Care Organization (ACO), their role in state Medicaid programs underscores their integral role in the implementation of a population-based payment strategy with ACOs.
Jan 18, 2016 Webinar

The State Network 1332 Waivers Affinity Group continued with a presentation from the team at Manatt Health Solutions. This webinar included a review of the basics around 1332 waivers, including what is allowed to be waived and the guardrails that apply to waivers. Following recent joint agency guidance from the Department of Health and Human Services and the Department of the Treasury, the team at Manatt reviewed the ways in which the guardrails are further defined, and the standards that will apply to them.