Primary Care and Medical Homes

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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  • A Tale of Two Systems: A look at State Efforts to Integrate Primary Care and Behavioral Health in Safety Net Settings

    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

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

    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

    Payment Options to Support Medical Homes: Theory and Practice

    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

  • Publications

    State Multi-Payer Medical Home Initiatives and Medicare’s Advanced Primary Care Demonstration

    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 […]

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    February 1, 2010 | Filed under: Primary Care and Medical Homes, Publications

  • Webinars

    The Role of Federally Qualified Health Centers in State-led Medical Home Collaboratives

    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 […]

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

  • Webinars

    Will Medicare Join State Multi-Payer Medical Home Initiatives? A Conversation with States Regarding Medicare’s Proposed Advanced Primary Care Demonstration

    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 […]

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

  • Publications

    The National Research Council/Institute of Medicine’s Adolescent Health Services: Highlights and Considerations for State Health Policymakers

    In May 2006, the National Research Council/Institute of Medicine’s (NRC/IOM’s) Board on Children, Youth and Families (BCYF) convened the Committee on Adolescent Health Care Services and Models of Care for Treatment, Prevention, and Healthy Development. With funding from The Atlantic Philanthropies, the committee conducted a study of health services for adolescents ages 10-19 in the […]

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  • Supporting Practices

    Supporting practices to help advance patient-centered care. Alabama Patient Care Networks of Alabama (PCNA), and ACA Section 2703 Health Homes: Alabama has launched four patient care networks run by Patient Care Networks of Alabama (PCNA) in select counties to support primary medical providers (PMPs), with services including: Quality improvement; Pharmacy assistance; Care management for high-risk and high-needs patients; and […]

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    October 1, 2009 | Filed under: Primary Care and Medical Homes

  • Aligning Reimbursement & Purchasing

    Supports and rewards practices which meet performance expectations. Alabama Patient Care Networks of Alabama (PCNA) and ACA Section 2703 Health Homes: Alabama began a staggered launch of four PCNAs beginning in August 2011, offering up to $50,000 in reimbursement for start-up costs and $3.00 PMPM for enrollees and $5.00 for enrollees who are aged, blind or disabled (ABD).Following […]

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    October 1, 2009 | Filed under: Primary Care and Medical Homes