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Medical Home & Patient-Centered Care

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....

Neva Kaye, Managing Director, Health System Performance
Jason Buxbaum, Policy Analyst
December 2011
State Innovations to Transform and Link Small Practices
Chronic care | Payment Reform | Primary care | State roles

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...

Mary Takach, Program Director
Anne Gauthier, Senior Program Director
December 2010
Making Connections: Medicaid, CHIP, and Title V Working Together on State Medical Home Initiatives
Collaboration | Policy improvement | Service delivery

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...

Jason Buxbaum, Policy Analyst
September 2010
Evaluating the Patient-Centered Medical Home: Potential and Limitations of Claims-Based Data
Home & community-based services | Measurement | Primary care
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...
Michael Stanek, Policy Analyst
September 2010
State Multi-Payer Medical Home Initiatives and Medicare’s Advanced Primary Care Demonstration
Dual-eligibles | Financing | Primary care
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...
Jason Buxbaum, Policy Analyst
Mary Takach, Program Director
February 2010