Primary Care and Public Health Integration

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 Encourage Care Models

Encourage Coordinated Care Models to Emphasize Population Health Outcomes

Innovative Policies: Using ACO Principles and Financial Incentives to Improve Health Outcomes 
Describes innovative practices from New York and Michigan that focus on how to use Accountable Care Organization (ACO) principles and financial incentives to improve health outcomes. (NY and MI)

 Massachusetts Prevention and Wellness Trust Fund: Cutting Health Care Costs through Prevention 
Describes how the stakeholders from both prevention and public health partnered to advocate for the recently passed cost-containment bill in Massachusetts. This bill sets annual state spending targets, encourages the formation of accountable care organizations, and establishes an independent commission to oversee health care system performance. (MA)

 Including Safety-Net Providers in Integrated Delivery Systems; Issues and Options for Policy Makers
Explores key considerations for incorporating safety-net providers into integrated delivery systems and discusses the roles of state and federal agencies in supporting and testing models of integrated care delivery. (CO, NC)

 Beacon Communities: Leading the Way in Health Care Transformation
Identifies program and funding characteristics in two Beacon Communities, examines the evolving state health agency role, and offers options for other states to engage with health IT and primary care quality improvement initiatives. (MI, RI)

 Colorado Beacon Consortium  
In this video, the Colorado Beacon Consortium tells how it has used health information technology and practice transformation to improve health of patients in the Western Slope of Colorado. (CO)

 Regional Care Collaborative Organization
Describes Colorado’s pilot ACO Model that designated a Regional Care Collaborative Organization (RCCO) to providing patient education and support services for Medicaid clients, and assist practices with care coordination for each of seven regions in CO. (CO)

 Accountable Care Community in Akron, OH
Represents a model for significant integration and provides both outcomes data and cost savings data from their initial work on diabetes. Here is a link to their white paper. (OH)

 North Carolina Community Health Networks
Describes the response of one state to establish community health networks to achieve quality, utilization, and cost objectives for the care of its Medicaid recipients. (NC)

 Vermont’s Community Care Teams
Describes Vermont’s Blueprint Integrated Pilot programs which are helping to build healthcare reform communities that include financial reform, practices operating as patient centered medical homes, local care support teams, and supportive health information technology. (VT)

 Primary Care and Prevention: State Roles in Delivery System Reform
Provides states with strategies for improving primary care and public health. The authors identify opportunities for working across these fields to accelerate progress in controlling costs. (National Governors Association, CH. 3)

 Community Centered Health Homes: Bridging the Gap between health services and community prevention
Examines how community health centers and other health facilities can produce a coordinated set of practices called a Community-Centered health Home (CCHH). (Prevention Institute)

 About Half of the States are Implementing Patient-Centered Medical Homes for their Medicaid Populations
Describes how 25 states have implemented a variety of payment policy changes and other reforms in Medicaid and the Children’s Health Insurance Program since 2006. (Commonwealth Fund)

 NASHP State ‘Accountable Care’ Activity Map 
Tracks state efforts to lead or participate in accountable care models that include Medicaid and Children’s Health Insurance Program populations. (NASHP)

 Transforming State Systems to Improve Population Health 
Explains how three promising state strategies, and others, can engage both public health and health care officials to achieve shared goals to create truly comprehensive reform. (OR, OK, MD)

 

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