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.
State Strategies for Care Coordination, Case Management, and Linkages for Young Children: A Scan of State Medicaid. Title V, And Part C Agencies
NASHP conducted this scan of states in order to better identify and understand what states are doing through variously funded early child health and development agencies to promote better care coordination, case management, and linkages to services for young children. The scan was designed to elicit strategies used by the three state agencies to improve healthcare and community linkages in three areas: within primary care practices; between primary care practices and other child and family service providers; and through systems or statewide strategies.
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 United States and issued a report, Adolescent Health Services: Missing Opportunities.
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 Program (CHIP). Several states are leading multi-payer medical home collaboratives to spread this model in the private sector.
Building Medical Homes in State Medicaid and CHIP Programs
With 47 million uninsured Americans, double digit inflation in medical spending and health outcomes that lag far behind other nations, comprehensive health care reform that addresses access, cost and quality issues is a national priority. A primary care oriented system may have benefits for population health, equity in health and cost containment and has been shown to reduce racial and ethnic disparities, and result in significantly lower health care costs and improved life expectancy diseases for those with chronic diseases.
Public Payer Medical Home Initiatives
The National Academy for State Health Policy (NASHP) and the Patient Centered Primary Care Collaborative (PCPCC) have partnered on a one-year project to advance medical homes in state Medicaid and CHIP (Children Health Insurance Program). Supported by The Commonwealth Fund, this project includes a series of three web seminars and accompanying State Health Policy Briefings that discuss strategies for states to consider when supporting practices in fulfilling their role as a medical home.
Analysis of State Regulations and Policies Governing the Operation and Licensure of Retail Clinics
The recent growth of retail clinics across the United States presents opportunities and challenges for states working to address access, costs, and quality issues within their health delivery systems. With more than 1,000 sites in 37 states, the emergence of retail clinics as an alternate provider has shaken up traditional health care models and can no longer be viewed as a passing trend for the following reasons:
New Opportunities and Continuing Challenges: A Report from the NASHP EPSDT Forum
Early access to high-quality child health care and development programs builds a foundation that ensures each child the optimum chance to grow strong physically, emotionally, and socially.
Supporting the Patient Centered Medical Home in Medicaid and SCHIP: Savings and Reimbursement
This State Health Policy Briefing explains the Patient Centered Medical Home model of care and explores reimbursement strategies states are using to help medical practices become medical homes. The PCMH model is seen as a way to address the diminishing role primary care plays in our health system.
This is the first in a series of four briefs that will explore different categories of policies that states can use to support improved delivery of primary care.
Strategies States Can Use to Support the Infrastructure of a Medical Home
The purpose of this State Health Policy Briefing is to examine strategies states can use to recognize and support medical practices that function as a medical home. This is the second in a series of briefs produced by the National Academy for State Health Policy (NASHP) in partnership with the Patient Centered Primary Care Collaborative (PCPCC).
