- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
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- Quality, Cost, and Health System Performance
- ACOs
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- Delivery System Reform
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- Managed Care
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- Specific Populations
- Adolescents
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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 states and health centers to support effective delivery system models providing integrated care for vulnerable populations.
November 2011
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Developing Federally Qualified Health Centers into Community Networks to Improve State Primary Care Delivery Systems
By fostering connections between federally qualified health centers (FQHCs) and other private primary care providers, states may be able to connect Medicaid beneficiaries with services needed to help them manage their health and reduce costly visits to hospitals. FQHCs’ mandate to provide a comprehensive scope of primary and preventive health care and support services, coupled with access to federal funds, gives them expertise and resources that might be leveraged in collaborative relationships with states and private practices. FQHCs may find many advantages in these partnerships as well.
May 2011
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Re-Forming Health Care Delivery Systems: A Summary of a Forum for States and Health Centers
In June 2010, the National Academy for State Health Policy (NASHP) convened a forum to examine evolving model approaches as well as surface new strategies that could be promoted with federal and state policymakers, foundations and the health center community to help progression toward reformed health systems. This paper presents the vision laid out at the forum for a transformed delivery system. In addition, it offers specific examples of organizations, regions and states that are designing and implementing approaches aligned with this vision, and outlines the strategies identified by participants as important in moving towards a reformed delivery system.
March 2011
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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 comprehensive medical home. This report focuses on how Tennessee and Missouri - two states that NASHP works with under our National Cooperative Agreement with the federal Health Resources and Services Administration, Bureau of Primary Health Care (HRSA/BPHC) - have approached integration and provides lessons for states seeking to integrate health care delivery systems.
May 2010
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Collaborating with Health Centers to Leverage HIT for System Improvement
Early in 2010, NASHP hosted a webinar that brought together individuals from Massachusetts, Oregon, and Tennessee with experience in collaborating with health centers around Health Information Technology (HIT) activities to discuss ways in which state agencies and federally qualified health centers (FQHCs) are working together to use HIT and health information exchange (HIE) funding opportunities from the American Recovery and Reinvestment Act (ARRA) to achieve mutual goals for health system improvements. This briefing draws from and builds on this webinar to offer an overview of opportunities, explore these states’ experiences, and provide concluding observations. This brief was developed through a National Cooperative Agreement (NCA) sponsored by the Health Resources and Services Administration’s (HRSA) Bureau of Primary Health Care (BPHC).
April 2010
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Federally Qualified Health Centers and State Health Policy: A Primer for California
California's federally qualified health centers (FQHCs) and "look-alikes" treat more than 2.3 million patients each year. With fewer providers serving Medi-Cal beneficiaries and the uninsured, FQHCs have become an even more vital source of primary care for millions of Californians.
Despite cutbacks in state and local funding, a new report by the National Academy for State Health Policy finds California has an opportunity to improve the performance and sustainability of FQHCs by integrating technology, adapting to changes in health policy, and tapping new sources of funding.
The issue brief covers the following topics:
July 2009
Policies and Strategies to Make Medicaid Managed Care Work for FQHCs: Experiences from Two States
State policies have a strong influence on the ability of Federally Qualified Health Centers (FQHCs) to participate in managed care arrangements. The 2000 Institute of Medicine report, “America’s Health Care Safety Net: Intact but Endangered,” examined the impact of Medicaid managed care on the future integrity and viability of safety net providers, such as community health centers. The report warned federal and state policy makers that managed care policies need to explicitly take into account the unique mission of safety net providers, reflected through fair rates and policies, lest the safety net structure be significantly weakened.
March 2009
Community Health Centers and Health Reform: Highlights from a National Academy for State Health Policy Forum
The purpose of this paper is to help state policy makers understand how federally qualified health centers (FQHCs) can fit into states’ health care reform plans and help achieve state reform goals related to access, quality, and cost. This topic was the subject of a day-long meeting hosted by the National Academy for State Health Policy (NASHP) on May 5, 2008, in Washington, D.C.
October 2008
Federal Community Health Centers and State Health Policy: A Primer for Policy Makers
Federally funded community health centers connect 16 million people throughout the U.S. and its territories with primary health care services and form much of the fabric of the country’s health care safety net. Although the federal community health center program was initiated with very little state input and involvement more than 40 years ago, this relationship is changing. The ties between state governments and health centers have grown over the years as states have worked to increase coverage and access to care, and as the health centers’ dependence on state Medicaid payments and grants has increased. This overview of federally funded community health centers is intended to help inform state policy decision making as it affects health centers, including ways that policy makers can work with health centers as an important component of their state’s health delivery system and reform plans.
June 2008
