Smaller primary care practices perform better than other practices in providing ongoing care and care coordination, but are more challenged than larger practices in implementing quality improvement efforts, according to a survey conducted by the Center for Health Care S... more
Across the country, states are seeking to transform how health care is paid for by shifting from a volume-centric to a value-based payment (VBP) mindset. In June 2015, New York State released A Path Toward Value-Based Payment: Roadmap for Medicaid Payment Reform, outlin... more
Patient- and staff-reported measures are a key way to assess the quality and experience of care for people with complex health and social needs. The Center for Health Care Strategies worked with health care organizations to test new measures for understanding patient a... more
Health policymakers and practitioners increasingly recognize trauma as an important factor impacting health throughout the lifespan. By offering trauma-informed approaches and treatments in health care settings, provider organizations can more effectively treat patients... more
The Center for Health Care Strategies' Regional Quality Improvement (RQI) initiative was designed to leverage Medicaid's significant purchasing power to improve chronic illness care through partnerships with commercial insurers, employers, providers, and consumer organi... more
This issue brief examines the CMS targeted case management rule, issued December 4, 2007, in the context of people with complex health needs who receive community-based care management services. Following a brief overview of the case management amendments contained in t... more
Medicaid health homes, made possible under Section 2703 of the Affordable Care Act, provide states with a mechanism to support better care management for people with complex health needs with the goal of improving health outcomes and curbing costs. As of January 2019, 2... more
Many states are looking to managed care partners to help them meet their expanded coverage responsibilities in 2014. As they address Medicaid spending and simultaneously prepare for expansion, being able to rely on effective purchasing from managed care entities has gre... more
[youtube v="1AtAL183Sc4"] California Advancing and Innovating Medi-Cal (CalAIM) is a multi-year, care delivery and payment reform initiative led by the California Department of Health Care Services. CalAIM seeks to expand access to coordinated, whole-person care, ... more
