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
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
Primary care is critical for supporting population health in the U.S., yet it has long been underfunded within Medicaid. This is a dynamic time for Medicaid, with states facing increased financial pressure under the 2025 budget reconciliation act (P.L. 119-21), while a... more
What’s the issue? Residents in rural areas often need to travel long distances to reach health care facilities, making it difficult to access preventive care and other crucial services. Community paramedicine programs, also known as mobile-integrated health care, ... 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
Over the past decade, Medicaid programs have been transitioning from fee-for-service provider payment to value-based payment models. Some states are now taking the next step by adopting more advanced arrangements that can accelerate primary care transformation efforts ... more
[su_note] Texas Key Facts State Population: 30.5 million Medicaid Enrollees: 5.7 million Enrollees with Diabetes: 187,000 Medicaid Spending on Diabetes: $18.9 billion [/su_note] Access to continuous glucose monitors (CGMs) in the U.S. has been limi... more
