CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Practice Site Improvement Models

A large number of racially/ethnically diverse Medicaid beneficiaries are served in small, under-resourced primary care practices. CHCS is working with states, plans and other health care stakeholders to provide non-traditional supports for these small, high-volume, high-opportunity primary care practices.

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Title and Description Date Type

Key Considerations for Supporting Medicaid Accountable Care Organization Providers

This brief outlines the types of technical assistance supports that state Medicaid agencies can potentially offer to help providers in transforming care delivery.
June 2013 Technical Assistance Briefs & Tools

Improving Health Care Quality and Equity: Considerations for Building Partnerships Between Provider Practices and Community Organizations

This brief outlines considerations for practices looking to develop partnerships with community organizations.

May 2013 Policy & Issue Briefs

Key Factors for Improving Care Delivery in Small Primary Care Practices with High Medicaid Volume

This brief presents key findings from an evaluation of the RDPS initiative and takeaways for Medicaid stakeholders. The initiative confirmed that Medicaid agencies must provide the vision and leadership for quality improvement investment in these critical, but often forgotten practices.
March 2013 Policy & Issue Briefs

Advancing Primary Care: Opportunities to Support Care Delivery Redesign in Practices Serving Medicaid and Racially and Ethnically Diverse Patients

This brief highlights results from a CHCS survey that looked at 126 practices in four communities participating in the Robert Wood Johnson Foundation's Aligning Forces initiative.
August 2012 Policy & Issue Briefs

Transforming Small High-Volume Medicaid Practices to Reduce Disparities in Care: Recent Advances and Future Opportunities

Download presentations from this joint meeting of CHCS' Reducing Disparities at the Practice Site initiative and the Robert Wood Johnson Foundation's Aligning Forces for Quality program, where participants reviewed progress, shared experiences, and looked down the road at the future of primary care.

December 2011 Meeting Highlights

Creating Physician-Support Entities in Medicaid

Based on a meeting with national experts in fall 2010 supported by The Commonwealth Fund, this brief outlines eight strategies for Medicaid agencies to catalyze the successful creation of PSEs.

June 2011 Policy & Issue Briefs

Practice Supports: Using Care Managers and Quality Improvement Coaches to Transform Medicaid Primary Care

This technical assistance brief outlines how states are using innovative practice supports to help Medicaid primary care practices provide higher-quality, more patient-centered, and cost-effective care.

May 2011 Technical Assistance Briefs & Tools

Driving Value in Medicaid Primary Care: The Role of Shared Support Networks for Physician Practices

This report explores strategies for providing shared resources to small, typically under-resourced physician practices that serve a high volume of Medicaid patients.

March 2011 Reports

Leveraging Medicaid to Encourage HIT Adoption and Strengthen Primary Care

Dianne Hasselman, CHCS director of quality and equality, recently presented "Leveraging Medicaid to Encourage HIT Adoption and Strengthen Primary Care" at the 2010 Medicaid Managed Care Congress.


October 2010 Staff Presentations

The Affordable Care Act: Opportunities for Medicaid to Advance Ambulatory Care Quality

In this CHCS webinar, presenters described provisions of the Affordable Care Act that can be used to strengthen Medicaid's primary care infrastructure. 

October 2010 Webinar Resources

Reducing Disparities at the Practice Site: Front-line Perspectives

In a series of video interviews, participants in CHCS' Reducing Disparities at the Practice Site initiative share insights into how the program is advancing chronic care delivery in small, primary care practices.

September 2010 Video

Practice Transformation in Medicaid: Five Levers to Strengthen Small, “High-Volume, High-Opportunity” Practices

This technical assistance brief describes how Medicaid can leverage its resources to facilitate and sustain improvements in care and reduce health disparities in small, under-resourced practices with high-volume Medicaid panels.

July 2010 Technical Assistance Briefs & Tools

Supporting “Meaningful Use” of HIT in Small, High-Volume Medicaid Practices

This technical assistance brief describes how Medicaid-led teams in four states are supporting practice improvements among Medicaid-serving providers by helping them to adopt and implement electronic registries.

July 2010 Technical Assistance Briefs & Tools

Improving Chronic Care in Small, “High-Opportunity” Primary Care Practices

This February 24, 2010 webinar presented opportunities for Medicaid agencies and health plans to improve chronic care at small practice sites. Medicaid leaders from Michigan and Pennsylvania discussed their involvement in CHCS' Reducing Disparities at the Practice Site initiative.

February 2010 Webinar Resources

Reducing Disparities at the Practice Site: Highlights of the Second National Meeting

Download presentations from the second national meeting of the Reducing Disparities at the Practice Site initiative where participants from four state teams came together to review progress, share experiences, and plan for the second year of the initiative.

November 2009 Meeting Highlights

The Relationship between Practice Size and Quality of Care in Medicaid

This resource paper presents the findings of CHCS' Practice Size Exploratory Project, which examined the quality of care that Medicaid managed care beneficiaries receive in different practice settings in Arkansas; Michigan; Erie County, and Bronx, New York; and Southwest Pennsylvania.

July 2009 Resource Papers

Reducing Disparities at the Practice Site

October 2008 - December 2011

October 2008 Initiative

Using Data to Identify High-Volume, High-Opportunity Practice Sites: A Medicaid Primer

This primer highlights the results of the Practice Size Exploratory Project (PSEP), the relationship between practice size and quality of care, and racial/ethnic disparities in access and care.

October 2008 Toolkits

Supporting Practice Improvement: The Role of Medi-Cal Health Plans in Enhancing Asthma Care

This report highlights key themes gleaned from the Plan/Practice Improvement Project, particularly ways in which health plans can support practice-site improvement, and shares operational lessons illustrated through examples of plan and practice activities.

June 2008 Reports

Practice Size Exploratory Project

March 2007 - June 2008

March 2007 Initiative
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