Delivery System Redesign

This technical assistance brief describes how states are using two types of practice-based supports – care managers and quality improvement experts – to help Medicaid primary care practices provide higher-quality, more patient-centered, and cost-effective care.

In two years California hopes to have most physicians using electronic health records state-wide and to have those records linked through a health information exchange system, using a provider directory services database.

BCBSMA launched the Alternative Quality Contract (AQC) in 2009 to move away from fee-for-service reimbursement models, with the goal of improving quality and outcomes while simultaneously slowing the growth of health care spending.

This study evaluates efforts to measure child and adolescent health and quality of services.

The Commonwealth Fund loooked at physicians in California and the United Kingdom that were already participating in pay-for-performance programs. The study found unintended consequences as a result of pay-for-performance programs.