Primary Care and Medical Homes

For the past year, the National Academy for State Health Policy (NASHP) has worked with a group of eight states (Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia) to develop medical home programs.  Over the past 12 months, these eight states, referred to as the Medical Homes II Consortium, have made strides toward this […]

Read More
  • Publications

    Federal and state governments play a significant role in strengthening the delivery of primary care, however current efforts have disproportionally been focused on large or multi-specialty  practices. This report examines the roles states are playing to reorganize the delivery of primary and chronic care to produce more efficient and effective care, particularly in small practices. Through […]

    Read More
  • Publications

    The medical home model–an approach to offering excellent primary care–is gaining momentum. A wide range of stakeholders are now embracing medical homes, and the Affordable Care Act has dedicated resources to developing and spreading the model. In this context, states have been leaders in building medical homes – especially for vulnerable populations. Several of the […]

    Read More
  • Publications,Webinars

    This State Health Policy Briefing summarizes the advantages and disadvantages of using claims-based data to evaluate patient-centered medical home initiatives. A Medicaid-based medical home initiative in Oklahoma and a multi-payer medical home pilot in Rhode Island are highlighted. Both states are using a mixture of claims-based data and supplementary resources like patient or provider surveys […]

    Read More
  • Integrated behavioral health and primary care occurs when behavioral health specialty and general medical care providers work collaboratively to address patients’ physical and behavioral health needs. Federal community health centers are uniquely positioned to partner with the community mental health system to deliver integrated care, and to address behavioral health issues as part of a […]

    Read More
    May 14, 2010 | Filed under: Behavioral Health, Primary Care and Medical Homes
  • Webinars

    In order for states to sustain support for medical home projects, they will need to show results.  Do these projects improve care and contain costs? Can claims-based Medicaid data provide answers to these questions?  Hear about the pros and cons of using claims-based data as well as other sources of Medicaid data to evaluate medical […]

    Read More
    April 16, 2010 | Filed under: Primary Care and Medical Homes, Webinars
  • Webinars

    This webcast will explore payment options for states to consider as they plan their medical home initiatives.  Robert Berenson, MD, Institute Fellow from the Urban Institute, will discuss a range of payment options to support the patient centered medical home and will explore the conceptual advantages and disadvantages of each model.  Mary Takach, MPH, RN, […]

    Read More
    February 5, 2010 | Filed under: Primary Care and Medical Homes, Webinars
  • Publications

    In September 2009, the U.S. Secretary of Health and Human Services announced that Medicare will join selected state-based, multi-payer medical home initiatives in an Advanced Primary Care (APC) demonstration. States have welcomed this announcement viewing Medicare as a valuable potential strategic stakeholder, yet are concerned that the proposed APC criteria may be too narrow to […]

    Read More
    February 1, 2010 | Filed under: Primary Care and Medical Homes, Publications
  • Webinars

    The medical home is a model of care that is taking root in both public and private payer programs in an effort to improve quality, control costs, and increase both patient and provider satisfaction. Since 2006, more than 30 states have been leading efforts to advance medical homes in their Medicaid and Children’s Health Insurance […]

    Read More
    January 13, 2010 | Filed under: Primary Care and Medical Homes, Webinars
  • Webinars

    For the 10 or more states that are active stakeholders in multi-payer medical home initiatives, the promise of Medicare getting in the sandbox with them and playing (a.k.a. paying) is an exciting proposition. The addition of Medicare as payer to some of these state initiatives may be the critical tipping point that results in widespread […]

    Read More
    November 16, 2009 | Filed under: Primary Care and Medical Homes, Webinars