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
[youtube v="xagE-v8dF30"] Population-based payment (PBP) models are an advanced value-based payment approach that offers health care providers upfront, flexible payments, and a reprieve from the hamster wheel of patient visits that fee-for-service payment models i... more
Federally qualified health centers (FQHCs) are an essential part of the nation’s health care safety net. Across the country, patients in FQHCs are benefiting from state-led value-based payment (VBP) models that move away from traditional fee-for-service payment that r... more
Primary care is associated with better health outcomes, lower costs, and plays an important role in reducing socioeconomic disparities in health. The COVID-19 pandemic underscores the need for robust investment in primary care to support ongoing COVID-19 testing and car... more
On January 7, 2021, the Centers for Medicare & Medicaid Services (CMS) released a state health official letter, Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH). The letter is the first comprehensive federal guidance on addressing s... more
COVID-19 has affected many areas of the U.S. economy, and health care providers are no exception. Medicaid providers — many of whom operate on slim financial margins — are at particular risk. In an effort to help keep providers afloat, the federal government earmark... more
Leading-edge federally qualified health centers (FQHCs) and health plans in California are demonstrating interest in advanced payment models (APMs) aimed at providing greater flexibility for FQHCs to deliver care in innovative ways. Their joint goal is to improve qualit... more
High-quality primary care can improve health outcomes, mitigate health disparities, and decrease avoidable health care spending. Primary care in the U.S., however, is drastically underfunded compared to peer countries, inhibiting its potential to achieve quality improv... more
For many Americans, taking prescription medications is part of everyday life. Nearly 75 percent of the population takes at least one medication daily, and 29 percent take five or more. Despite these numbers, there is scant guidance available to help people navigate comp... more
For over a decade, state and federal policymakers have worked to better integrate Medicare and Medicaid benefits, financing, and administration to improve care for the more than 12 million people in the U.S. who are dually eligible for these programs. These e... more
[su_note note_color="#DBE5F1" radius="0"] Program Snapshot Name: ReSource Teams Goal: Use technology to assist community health workers and volunteers in connecting patients in isolated rural areas to health care providers and community resources. Featured Servi... more
The Affordable Care Act (ACA) has advanced opportunities to expand access to health coverage for low-income Americans through the expansion of Medicaid and the establishment of health insurance marketplaces. As pathways to public and private health coverage, state-based... more
