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.
On May 11, 2011 HHS announced the launch of The Medicare-Medicaid Coordination Office's Alignment Initiative, an effort to more effectively integrate benefits under the two programs.
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.
Hawaii is moving toward a medical home model for Medicaid patients, integrating electronic health records to help coordinate services and improve provider communication.
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.
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.
Minnesota Community Measurement (MNCM) program reports on 18 clinical quality measures, health information technology, patient experience, cost of care and hospital measures.