To ensure consumer and stakeholder participation, Iowa state agencies involved in planning the Iowa Health Benefit Exchange held five regional meetings and eight focus groups to engage in both open and directed conversation about rights, responsibilities and concerns regarding the Exchange. The information gathered at these meetings is summarized in this document.

This presentation outlines the methodology for payment reform in Maryland's 50-practice Patient Centered Medical Home (PCMH) pilot. This payment reform methodology emphasizes that PCMH generate shared savings, as well as utilize a cost-covering fixed payment plan for the Medicare and commercial populations.

State Refor(u)m is home to several new features, thanks in part to feedback from users. These site improvements make it easier to find what you're looking for, monitor your state's progress, and stay up to date on the latest implementation activities.

Document Filters
It's now much easier to search for documents on State Refor(u)m. In spots where you click "all" to see more documents, you'll land on a page containing document filters. These filters can be used to sort material by state, document type, and milestone. The filters are helpful for finding documents within an indicator, as well as across the site.

Milestone Completion
Completing milestones on State Refor(u)m brings states closer to ACA implementation. Now we're making it easier for users to track their state's progress and assess the work ahead.

• Clicking on "my state" brings you to a list of all progress indicators for your state. The milestones under each indicator are now accompanied by checkboxes, which are filled when a milestone is completed. In addition, an announcement appears on the webpage for the appropriate milestone.

Recent Activity
State Refor(u)m is home to new content every day, and we want to help you stay on top of it. Two new features can help users monitor the latest developments in their states or interest areas. Each state page now has a "Recent Activity" box displaying the latest documents and comments pertaining to that state. In addition, users who subscribe to an indicator's RSS feed will be notified when new, relevant material is posted.

Have a suggestion for a site improvement? Email your comments to statereforum@nashp.org or click "feedback" on any page on the site.

Is your state working to keep health reform implementation on track? In an upcoming State Refor(u)m webinar get new ideas about coordinating efforts across agencies, developing resources, and modifying laws and policies. Save the date! The webinar will be live Tuesday, July 19, 3:00-4:30 PM Eastern time.  

>> Share your state's coordination work before the webinar

State officials, state government staffers, and nongovernmental stakeholders all take part on State Refor(u)m. And anyone with thoughtful reports, analyses, and comments may join discussions.   

State Refor(u)m has completed an analysis of the Rhode Island, Indiana and Washington establishment grant proposals, and our latest blog post focuses on each state's approach to program integration.

>> View an analysis of the grant proposals

State leaders talk about their implementation work, health care successes, and learning from each other in a new State Refor(u)m video.  

>> Watch it now