Primary Care and Medical Homes

Innovative payment models can support medical homes by decreasing the cost of care, incenting and rewarding quality over quantity, and enabling practices to invest in infrastructure and supports. Many leading states have learned from early initiatives and are moving forward with new payment models that to further drive system goals, including lowered costs, improved quality […]

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  • Webinars

    Building Medical Home Neighborhoods through Community-Based Teams: Lessons from Three States with Emerging Programs

    Community-based teams can help medical home providers offer primary care that is coordinated, whole-person oriented, and integrated with local community resources.  Nine states are now making payments to community-based practice support teams, and others are exploring possibilities for launching teams in the near future.  Webcast attendees will hear from program leaders in Alabama, Michigan, and […]

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  • Publications

    Shared Decision Making: Advancing Patient-Centered Care through State and Federal Implementation

    Shared decision making (SDM)—a process that engages patients in a dialogue with their providers to help them select health care options that conform to their values and preferences—is receiving increased attention as a tool for improving quality and patient satisfaction, and addressing unwarranted variation in care. Building on NASHP’s analyses of state health system improvement […]

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  • Publications

    Building Medical Homes: Lessons from Eight States with Emerging Programs

    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

    State Support for Primary Care Practice Transformation: Replication of the North Carolina Model

    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

    States, Primary Care and Health Centers: Fostering Delivery System Changes

    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

    New Tactics for Building Medical Homes in State Medicaid and CHIP Programs

    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

    State Innovations to Transform and Link Small Practices

    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

    Making Connections: Medicaid, CHIP, and Title V Working Together on State Medical Home Initiatives

    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

    Evaluating the Patient-Centered Medical Home: Potential and Limitations of Claims-Based Data

    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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