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Appendix D: Evaluation of State Strategies

Process Measures

The following measures can help states monitor the achievement of specific milestones in their implementation plan related to the legal and market environment. The order of the measures reflects the complexity of the policy changes, starting with the most complex measures requiring the greatest political will, buy-in and financing.

Measures to Assess Progress in Addressing Legal Barriers

  • Changes to state law or regulation reducing restrictiveness of legal environment
  • Changes to state law or regulation intended to prevent information blocking
  • Development and issuance of guidance to clarify state and federal law
  • Convenings and webinars to educate health care providers and their support staff on state and federal law
  • One-on-one outreach conducted to educate health care providers and their support staff on state and federal law

Measures to Assess Progress in Addressing Market Barriers

  • Creation of new VBP arrangements in Medicaid and state employee health insurance
  • Adoption of metrics intended to directly or indirectly incentivize exchange of health information through Medicaid MCO contracts or other state purchasing vehicles