Delivery System Reform

Primary care practices transitioning to enhanced models of primary care require ongoing support to sustain their transformation efforts. Small and medium-sized practices in particular can benefit from shared resources facilitating care coordination and case management, use of data and technology, and ongoing practice improvement. This State Health Policy Briefing outlines key elements of a shared […]

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  • Publications

    Within multi-payer medical home initiatives, it is critical to develop and implement attribution and/or enrollment methodologies that assign participating patients to the practice most responsible for managing their care for two important reasons: the numbers of patients assigned to each practice influences the amount of supplemental PCMH payments paid to practices and which patients are […]

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  • State Health Policy Blog

    by Jill Rosenthal and Manel Kappagoda of ChangeLab Solutions April 2014 The United States ranked 15th among affluent countries in life expectancy in 1980. By 2009, it had dropped to 27th place. Our fragmented health care delivery and public health systems, and the lack of coordination between the two, has resulted in an imbalance of […]

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  • Publications

    This report, developed by NASHP and produced by ChangeLab Solutions, highlights leading states’ approaches to support community-based prevention initiatives by bridging the health care delivery and public health systems. It examines various mechanisms – both previously existing and created through health reform – that states can leverage to implement sustainable community-based prevention programs. They include […]

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  • Webinars

    Thursday, April 17, 2014: Minnesota’s statewide Health Care Home Initiative (HCH), a multi-payer patient-centered medical home program that currently has 322 certified HCHs, recently released its first program evaluation. This webinar provides background on the initiative and highlight the key findings of the 2014 HCH Evaluation Report to the Minnesota State Legislature.

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  • Webinars

    As states seek to improve quality of care and health outcomes while reducing costs, many have turned to accountable care models. One key aspect of accountable care models is that organizations or structures assume responsibility for the care and outcomes of a defined population across a continuum of care and across different parts of the […]

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  • Webinars

    Tuesday, March 4, 2014 3:30 pm – 5:00 pm ET View Webinar Here Currently, 19 states are participating in one or more multi-payer patient centered medical home initiatives (PCMH). As states develop new multi-payer PCMH initiatives, they will have to grapple with the question of how much, if any, alignment is necessary among key programmatic […]

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  • Publications

    Through the Infrastructure for Maintaining Primary Care Transformation (IMPaCT) initiative, North Carolina launched two learning collaboratives to enhance its existing infrastructure for primary care practice support. North Carolina is one of four lead IMPaCT states that have expanded, evaluated, and shared their efforts to transform primary care practices. This issue brief summarizes key strategies, results […]

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  • Webinars

    The national IMPaCT project supported North Carolina as one of four leading states in the field of practice transformation and primary care extension. Through IMPaCT, North Carolina partnered with four other states (Idaho, Maryland, Montana, West Virginia) to disseminate its primary care practice transformation strategies. Together these states formed the North Carolina IMPaCT Learning Community, […]

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  • State Health Policy Blog

    By Larry Hinkle October 2013   Many states are testing primary care extension as a strategy for supporting continuous quality improvement in practice. Primary care extension is based on the model of the Agricultural Extension Service. In health care this model applies scientific research and new knowledge to practices through provider education – often led […]

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