States' roles in shaping high performance health systems Hess, Catherine, author. Schwartz, Sonya, author. Rosenthal, Jill, author. Snyder, Andrew, author. Weil, Alan, author. Delivery of Health Care -- organization & administration State Government State Health Plans States shape the health system in many ways, influencing key components such as insurance coverage, quality of care, and information and provider infrastructures. This report presents findings from the State Health Policies Aimed at Promoting Excellent Systems project, undertaken by the National Academy for State Health Policy, with support from The Commonwealth Fund. After conducting surveys of multiple agencies in states across the country, as well as a review of related literature, this study found that states are pursuing system improvements across the full spectrum of their authority, including health care purchasing, regulation of providers, reporting of performance data, integration of public health with health care approaches, and improving the availability and affordability of health insurance. Despite this activity, this study finds room for states to do much more. Ongoing efforts to track, study and diffuse information on state activities could accelerate adoption of promising policies and practices. [New York, N.Y.] : Commonwealth Fund, April 2008 Commonwealth Fund, issuing body. Technical Report Text Illustrations 1 online resource (1 PDF file (x, 33 pages)) nlm:nlmuid-101471887-pdf 101471887 http://resource.nlm.nih.gov/101471887 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licenses/by/4.0