Washington State Institute for Public Policy
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May 2017
WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts, with additional support from the Robert Wood Johnson Foundation, to extend WSIPP’s benefit-cost analysis to certain health care topics.

We present new benefit-cost findings for interventions in four health care areas: 1) interventions to promote healthy pregnancy and birth; 2) therapies to treat opioid use disorder; 3) collaborative primary care; and 4) patient-centered medical homes. These benefit-cost findings build on our meta-analytic results released in December 2016.

As part of this work, we conducted a primary analysis of Washington State birth certificate and hospital discharge data to estimate the costs related to key birth indicators. This analysis is a new addition to WSIPP’s benefit-cost model and is discussed comprehensively in the Health Care Technical Appendix.
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December 2016
WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts, with additional support from the Robert Wood Johnson Foundation, to extend WSIPP’s benefit-cost analysis to certain health care topics.

We present meta-analytic findings for programs in four health care areas: 1) the promotion of healthy pregnancy and birth; 2) therapies to treat opioid use disorder; 3) the integration of behavioral health and primary care, and 4) patient-centered medical homes.
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November 2016
The 2015 Washington State Legislature asked WSIPP to contract with RAND to examine policy options for increasing the availability of primary care services in Washington.

These policy options include opening the new Elson S. Floyd College of Medicine at Washington State University in 2017; increasing the number of primary care residency positions in the state; expanding educational loan-repayment incentives to encourage primary care physicians to practice in rural Washington; increasing Medicaid payment rates for primary care physicians in rural Washington; and encouraging the adoption of alternative models of primary care, such as medical homes and nurse-managed health centers, that reallocate work from physicians to nurse practitioners (NPs) and physician assistants (PAs). RAND Corporation researchers projected the effects that these and other policy options could have on the state's rural primary care workforce through 2025. They project a 7% decrease in the number of rural primary care physicians and a 5% decrease in the number of urban ones. None of the policy options modeled in this report, on its own, will offset this expected decrease by relying on physicians alone. However, combinations of these strategies or partial reallocation of rural primary care services to NPs and PAs via such new practice models as medical homes and nurse-managed health centers are plausible options for preserving the overall availability of primary care services in rural Washington through 2025.

RAND's report is available below and can be accessed by clicking here.
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December 2015
The Washington State Institute for Public Policy (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics.

We present findings for four new topics: 1) hospital–based programs to reduce Cesarean sections; 2) school-, workplace-, and community-based obesity prevention programs; 3) accountable care organizations; and 4) patient cost sharing. We also summarize prior findings for six topics: 1) “lifestyle” programs designed to prevent diabetes; 2) behavioral interventions to reduce obesity in adults and children; 3) transitional care to prevent hospital readmissions; 4) patient-centered medical homes to reduce health care costs; 5) programs to reduce avoidable emergency department visits; and 6) smoking cessation programs in pregnancy.
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December 2015
The Washington State Legislature directed the Washington State Institute for Public Policy (WSIPP) to “calculate the return on investment to taxpayers from evidence-based prevention and intervention programs and policies." Additionally, WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics.

We provide extensive discussions of interventions, methodological issues, and meta-analytic findings for six topics in this appendix. These topics include: 1) diabetes prevention, 2) Cesarean section reduction, 3) transitional care, 4) patient-centered medical homes, 5) accountable care organizations, and 6) patient cost sharing.
Download: Technical Appendix
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May 2015
WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. An important goal is to determine whether there are strategies that can help states control Medicaid and other health care costs.

This report reviews evidence on five topics: “lifestyle” programs designed to prevent diabetes; behavioral interventions to reduce obesity; transitional care to prevent hospital readmissions; patient-centered medical homes to reduce health care costs; and programs to reduce avoidable emergency department visits.
Download: Report
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January 2015
The Washington State Institute for Public Policy's (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. The Pew-MacArthur Results First Initiative identified diabetes prevention as an important health care issue for states. One important goal is to determine whether diabetes prevention policies can help states control Medicaid and other health care costs.

We reviewed credible research studies from the United States and elsewhere to determine whether lifestyle programs can achieve these results. We find that, on average, the programs have significant effects on diabetes incidence, weight loss, and certain risk factors for cardiovascular disease.
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January 2015
The Washington State Institute for Public Policy's (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. The “patient-centered medical home” (PCMH) was identified as an important health care topic for states.

This study reviews evidence on the effectiveness of patient-centered medical homes in reducing emergency department utilization, hospitalizations, and total medical costs.
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January 2015
The Washington State Institute for Public Policy's (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur WSIPP’s Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. The Pew-MacArthur Results First Initiative identified the goal of reducing hospital readmissions as an important health care challenge for states.

For this report, we reviewed the national and international evaluation literature to determine whether transitional care programs have been shown to reduce hospital readmissions. Components of transitional care include coaches, patient education, medication reconciliation, individualized discharge planning, enhanced provider communication, and patient follow-up after discharge.
Download: Report
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December 2014
WSIPP’s Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. An important goal is to determine whether there are strategies that can help states control Medicaid and other health care costs.

This report reviews evidence on six topics: “lifestyle” programs designed to prevent diabetes; behavioral interventions to reduce obesity; smoking cessation during pregnancy; transitional care to prevent hospital readmissions; patient-centered medical homes; and programs to reduce avoidable emergency department visits.
Download: Report
Related:
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110 FIFTH AVENUE SE, SUITE 214
P O BOX 40999
OLYMPIA, WA 98504
 
360.664.9800
institute@wsipp.wa.gov