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Evidence and Insights from Implementing an Intensive Care Management Program
Intensive care coordination can help individuals with complex needs meet their health care goals, while potentially lowering health-related expenditures. Currently, there is limited evidence from randomized controlled trials (RCTs) on the effectiveness of care coordina... more
November 2022
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Increasing Primary Care Rates, Maximizing Medicaid Access and Quality
As Medicaid completes its transformation from a welfare program to the nation's largest health insurance purchaser, it must refocus efforts to build a strong and robust primary care system. Health care reform legislation passed in 2010 requires reimbursement for Medicai... more
January 2011
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Advancing Primary Care: Opportunities to Support Care Delivery Redesign in Practices Serving Medicaid and Racially and Ethnically Diverse Patients
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
August 2012
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Medicaid Population-Based Payment: The Current Landscape, Early Insights, and Considerations for Policymakers
Population-based payment (PBP) models — an advanced value-based payment approach — are gaining increased interest in health care as a way to achieve often hard-to-reach goals, such as controlling health care costs, improving care quality, enhancing patient and prov... more
November 2022
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Leveraging the Medicaid Primary Care Rate Increase: The Role of Performance Measurement
Through the Affordable Care Act, in 2013 and 2014, Medicaid is required to reimburse primary care providers at parity with Medicare rates -- a "bump" that is funded 100 percent by the federal government. This increase in Medicaid provider rates offers a potentially powe... more
January 2012
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Primary Care Innovation in Medicaid Managed Care Profiles
Increasingly, states are seeking more advanced primary care models that better addresses the diverse health-related needs of patients, including behavioral health and social needs. These profiles are part of a series that explore how five states — Hawaii, Louisiana, P... more
August 2019
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Rhode Island Pilots Innovative, Cross-Payer Patient-Centered Medical Home Model
An aging population, increasing rates of chronic illness, and a shortage of new primary care physicians are placing growing, and sometimes unmanageable, demands on primary care practices.1,2 As their need for support - particularly in the area of chronic disease managem... more
July 2009
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Promoting Health Equity through Primary Care Innovation in Medicaid Managed Care
Over half of individuals in the U.S. covered by Medicaid come from communities of color. The program also insures over 10 million people with disabilities. As a result, state Medicaid agencies and their partners can play a major role in advancing health equity and impro... more
July 2021
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Adopting a Community Resource and Referral Platform: Considerations for Texas Medicaid Stakeholders
As Medicaid programs across the country become more aware of the major role non-medical drivers of health (DOH) play in health outcomes, they are increasingly searching for tools to help identify and address these needs. One such tool is a community resource and referr... more
April 2023
