CHCS BlogWelcome to the CHCS Blog, where you’ll find an ongoing conversation about innovative solutions to improve the delivery of health and social services for low-income Americans.


Now Is the Time for States to Get Serious About Investing in Primary Health Care

Even before the COVID-19 crisis hit, the U.S. had historically underinvested in primary care, spending only five to seven cents of every health care dollar on primary care services. The pand... more

November 17, 2020
Leveraging Prospective Payments to Address Provider Financial Shortfalls: The Role of Managed Care Organizations

Many providers are facing financial shortfalls due to postponed elective surgeries and decreased patient visits during the COVID-19 pandemic. While some aid is available through the CARES Ac... more

May 26, 2020
Addressing Provider Viability: The Case for Prospective Payments during COVID-19

As the novel coronavirus spreads, Americans are now all too familiar with stories of hospitals on the brink of capacity overload, hoping that they have enough ventilators, personal protectiv... more

April 17, 2020
Advancing Health Equity in Medicaid: Emerging Value-Based Payment Innovations

Health care disparities persist across the United States, despite growing awareness of the issue. Black mothers are two to three times more likely to die of common pregnancy complications th... more

March 26, 2019
It’s Not Just Risk: Why the Shift to Value-Based Payment is also about Provider Flexibility

The movement to adopt value-based payment (VBP) in the U.S. health care system tends to focus on getting providers to assume financial risk. Recently, for example, the Centers for Medicare &... more

March 21, 2019
Payment Innovation in Federally Qualified Health Centers: Lessons from California

Significant movement has occurred over the past few years among states, managed care organizations (MCOs), and providers, including federally qualified health centers (FQHCs), to adopt value... more

September 12, 2018
Outcomes Rate Cards: A Scalable Pay for Success Approach

With support from the Robert Wood Johnson Foundation, CHCS is examining how Pay for Success (PFS) can help Medicaid stakeholders achieve policy and program goals. A companion blog and a rece... more

January 11, 2018
Using Pay for Success in Medicaid Managed Care and Value-Based Purchasing Initiatives

In discussing Medicaid, we often use jargon, acronyms, and maxims. Pay for value, not volume. Address social determinants of health (SDOH). Now, we have a new maxim: Pay for Success (PFS)... more

January 9, 2018
Bridging the Divide: Supplementing Payment Reform to Promote Needed Investments in Population Health

Two important trends in health care reform are converging and driving toward a new way of allocating resources for more effective — and efficient — population health. The first is the gr... more

April 10, 2017