Primary Care and Medical Homes

States are seeking to strengthen primary care through the medical home model to achieve better outcomes and lower costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of medical home programs. The states have drawn on both well-tested approaches and […]

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  • Webinars

    This webcast is an introduction to the new Infrastructure for Maintaining Primary Care Transformation (IMPaCT) initiative in North Carolina, funded by the Agency for Healthcare Research and Quality (AHRQ).  It will outline the key components of North Carolina’s primary care practice transformation strategy, their interrelationship, lessons learned, the role of a state level coalition, and […]

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  • Publications

    NASHP convened a June 2011 forum in Denver, Colorado, that brought together state and federal officials, primary care offices and associations and other key partners to learn from Colorado’s efforts and discuss health centers’ roles and challenges in delivery system reform. This report frames key issues, themes and recommendations that emerged from the forum for […]

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  • Webinars

    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 […]

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    December 20, 2010 | Filed under: Medicaid, Primary Care and Medical Homes, Webinars
  • 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 […]

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  • 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 […]

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  • 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 […]

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  • 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 […]

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    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 […]

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    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, […]

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    February 5, 2010 | Filed under: Primary Care and Medical Homes, Webinars