Recognizing the importance of primary care, Medicaid agencies are looking to support advanced primary care models. States are asking not only if an individual has a relationship with a primary care provider, but also whether that patient is supported by a multidiscip... more
Community health worker-led advance care planning and symptom screening program reduced acute care use for patients with advanced stages of cancer. Context National guidelines recommend advance care planning (ACP) and symptom management for patients with advanced... more
Identifies opportunities for nursing homes to support more equitable and low-intensity care for nursing facility residents with advanced dementia. Context Many people with dementia die in nursing homes, and high-intensity interventions for these individuals, such... more
A home-based primary care program for homebound older adults leads to reductions in health care utilization and overall cost savings. Context Approximately seven million adults in the United States face the challenge of either being homebound or experiencing sign... more
Pediatric primary care is critical in supporting healthy development and disease prevention that is foundational for lifelong health and long-term social outcomes.[efn_note]National Academies of Sciences, Engineering, and Medicine. (2024). Launching Lifelong Health by ... more
[su_note] At-A-Glance Overview: In April 2023, Massachusetts’ Medicaid agency (MassHealth) launched its Primary Care Sub-Capitation Program, a population-based payment model. Goal: Improve patient and provider experience, increase investment in primary care,... more
The Eastern Band of Cherokee Indians (EBCI) is a federally recognized Native American nation consisting of approximately 15,000 enrolled members. Most of these members reside in the Qualla Boundary, a Tribal land spanning five counties in western North Carolina. T... more
Community-based organizations (CBOs) are critical partners in state efforts to improve health outcomes. As trusted community entities, CBOs are uniquely positioned to understand community members’ needs and provide necessary services. As states pursue strategies to i... more
Health care organizations across the United States are increasingly partnering with local faith leaders to strengthen community connections and bridge care gaps for health conditions, including serious illness. Faith leaders, as trusted members of their communities, ar... more
[su_note] At-A-Glance Overview: Building on previous Medicaid value-based payment models, Colorado launched its primary care population-based payment (PBP) model,[efn_note]CHCS uses the term “population-based payment” to describe an upfront, prospective, valu... more
Across the nation, state policymakers are seeking solutions to address the persistent challenges within behavioral health delivery systems. There are high rates of overdose and overdose deaths, high suicide rates, unmet care needs, and an increase in homelessness among... more
