Systems Improvement/Quality

Capital District Physicians' Health Plan, located in upstate New York, introdiced a risk-adjusted capitated payment model in three pilot provider practices to establish patient-centered medical homes.

Martin's Point Health Care is improving patient care for those with chronic diseases by reorganizing practices into patient-centered "care teams."

Bellin Health takes a "life-and-health cycle" approach that stresses prevention and minimizing the liklihood that patients who use the system will ever need costly acute, inpatient care.

The Vermont Blueprint for Health is a statewide public-private initiative aimed at transforming health care delivery, improving health outcomes, and enabling the citizens of Vermont to recieve seemless, coordinated care.

This study examined seven provider organizations’ efforts to implement care delivery changes similar to interventions.

This report seeks to answer three questions:
1. What is the range of estimates of the impact of the Patient Protection and Affordable Care Act on state budgets?
2. Why do estimated impacts of the ACA on states vary so widely across reported estimates?
3. What conclusions can we draw about the fiscal impact of the ACA on states based on this analysis? 

This report examines the development of the ACO model, focusing on Colorado, Massachusetts, Minnesota, North Carolina, Oregon, Vermont, and Washington.