Oct 8

Past Event

State Health Reform Series: Developing a National Framework for Supporting Delivery System Reform at the State Level

Event Materials



  • Mark McClellan

    McClellan explains why states should be at the forefront of providing choice, incentives and financial support to help deliver quality, sustainable health care at a lower cost.

    Mark B. McClellan

  • Alan Weil

    Weil says state governments are at the forefront in providing affordable, quality health care. But, he says, the federal government must collaborate with states to resolve the crisis.

    Mark B. McClellan


Reducing the number of people without insurance coverage remains an important policy priority at both the state and federal levels. However, current financial challenges and budget shortfalls mean that in addition to expanding affordable coverage options, policymakers must continue to seek ways to improve the delivery of care – and at lower costs.

An October 8, 2008 forum co-hosted by the Engelberg Center and NASHP brought together state and national perspectives in government and the private sector in an effort to identify specific ways that more robust state-national partnerships can help accelerate and improve reform efforts at the state and regional levels and also inform national policy. The event was led by Mark McClellan, Director of the Engelberg Center at Brookings, and Alan Weil, Executive Director of NASHP. Participating in the event were Karen Ignagni, President and CEO of America’s Health Insurance Plans, Reed Tuckson, Executive Vice President and Chief of Medical Affairs at UnitedHealth Group, Herb Kuhn, Deputy Administrator of the Centers for Medicare & Medicaid Services, and other distinguished panelists representing state and federal administrative agencies, health care provider groups, and the business community.

The purpose of the forum was to highlight examples of states that are taking multi-stakeholder or multi-payer approaches to improve the overall delivery of care, examine lessons learned and common themes that have emerged from these efforts, and identify opportunities for building on best practices. Panelists offered specific ideas for developing an enhanced partnership with national public and private stakeholders that may help most effectively advance the goals of health care delivery reform, and identified key components of a more robust state/national framework for delivery system reform, including the need to build evidence around efforts to contain costs and improve quality through greater alignment and standardization of cost and quality measures, and the need for greater improvement and innovation in care coordination, accountability, and provider reimbursement.

View the Webcast »

Event Agenda

  • Welcome and Introduction

  • Panel One: Learning From State Efforts to Promote Multi-Stakeholder Delivery System Reform

    • Allen Dobson

      Carolinas Healthcare System

    • Joan Henneberry

      Colorado Department of Health Care Policy and Financing

    • Craig Jones

      Vermont Blueprint for Health, Agency of Administration

    • Chris Koller

      Rhode Island Office of the Health Insurance Commissioner

    • Alan Weil

      Executive Director, National Academy for State Health Policy

  • Panel Two: National Stakeholders and State-Level Reform Efforts

    • John Bertko

      Engelberg Center for Health Care Reform at Brookings

    • Karen Ignagni

      America’s Health Insurance Plans

    • Bob Margolis

      HealthCare Partners

    • Reed Tuckson

      UnitedHealth Group

    • Steve Wojcik

      National Business Group on Health

  • Luncheon Keynote: CMS, State-Level Health Reform, and Value-Based Purchasing

    • Herb Kuhn

      Deputy Administrator, Centers for Medicare & Medicaid Services

  • Panel Three: The Federal Government as a Partner in State-Level Reform Efforts

    • Dennis Smith

      Heritage Foundation

    • mmclellanimage

      Mark B. McClellan

      Director, Health Care Innovation and Value Initiative

      Senior Fellow, Economic Studies

    • Tim Westmoreland

      Georgetown University

    • State Leaders as Discussants

  • Concluding Remarks and Next Steps


October 8, 2008

8:30 AM - 3:00 PM EDT

The Brookings Institution

Falk Auditorium

1775 Massachusetts Ave., NW


For More Information

Engelberg Center at Brookings

(202) 797-6119