Curated Resources

This collection, curated by the Delta Center program team, provides resources related to the primary goals of the State Learning & Action Collaborative. The resources are organized into four categories: building internal capacity; collaboration between behavioral health and primary care; policy and advocacy to advance value-based payment and care (VPB/C); and provider-level training and technical assistance (TA).

Click on the categories below to filter the resources.

Value-Based Care in America: State-by-State

This 50-state review of value-based care in America summarizes state-by-state efforts to explore and implement value-based care and payment models, based on publicly available information compiled in 2017 and updated in February 2019.

Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States

This toolkit is designed to help states leverage their managed care purchasing authority to advance primary care innovation. Based on the experience of states participating in the Center for Health Care Strategies Advancing Primary Care Innovation in Medicaid Managed Care national learning collaborative, the toolkit outlines design considerations and shares sample contract and procurement language […]

Behavioral Health Provider Participation in Medicaid Value-Based Payment Models: An Environmental Scan and Policy Considerations

In the spring of 2019, the National Council for Behavioral Health partnered with the Center for Health Care Strategies to conduct an environmental scan of value-based payment models for behavioral health services. The culminating report is based on interviews with representatives from behavioral health associations, community-based behavioral health providers, state agencies, Medicaid managed care organizations […]

The FQHC Alternative Payment Methodology Toolkit: Fundamentals Of Developing A Capitated FQHC APM

This FQHC APM toolkit is designed for state PCAs to use in developing FQHC APMs in collaboration with health centers in their states. The toolkit contains the most recent information the authors have at the time of publication. It should also be noted that this toolkit is informed by the experiences in various states, and […]

The Road Ahead: A Model for Advancing High Performance in Primary Care and Behavioral Health Under Value-Based Payment

With support from the Robert Wood Johnson Foundation, the Delta Center for a Thriving Safety Net presents a Model for Advancing High Performance (MAHP) 2.0—a unified set of evidence-based actions and infrastructure necessary for CHCs and CBHOs to both provide high-quality, comprehensive care and succeed in value-based payment arrangements.

Blank Page: Storytelling By Design

These materials are from Blank Page and accompanied the Storytelling session at the October 15-16, 2018 Delta Center State Learning & Action Collaborative Convening.

Alternative Payment Methodology Toolkit

This toolkit is designed to help state policymakers to implement Medicaid value-based payment (VBP) methodologies for FQHCs. Based on lessons learned from states during the NASHP VBP Reform Academy, the toolkit provides background information, key considerations, and state strategies related to: stakeholder engagement; VBP methodology development; measurement and reporting; and FQHC readiness and practice transformation. […]

Value-Based Payment Planning Guide

This planning guide provides one possible framework to shape the process of organizational transformation needed to prepare for value-based payments (VBPs). Given the complexity of this type of transformation, and the accelerated timeline for State payment changes under Medicaid and federal changes to Medicare, organizations will need to identify and implement a change process tailored […]

Value-Based Purchasing in Pennsylvania

Richard Edley, President and CEO of Pennsylvania’s Behavioral Health State Association RCPA, shares his insights into why value-based purchasing is so important, prior success within Pennsylvania, and concerns for the behavioral heath provider community moving forward.

Accelerating and Aligning Primary Care Payment Models White Paper

This white paper offers principles, recommendations, and immediate action steps for implementing primary care payment models (PCPMs). It is designed to help stakeholders overcome barriers to effective primary care tied to traditional fee-for-service payments based on the volume of services provided rather than the quality and value of care. At its core is the view […]

Alternative Payment Model (APM) Framework White Paper – Refreshed 2017

This white paper from the Health Care Payment Learning & Action Network (HCP-LAN) updates its framework for accelerating the transition in the health care system from a fee for service payment model to one that pays providers for quality care, improved health, and lower costs and its application to primary care teams. The original HCP-LAN […]

Integration Models: Lessons From the Behavioral Health Field

This presentation and transcript provides a detailed look into three different integrated care settings across the country, a review of their integration approach and key outcomes and lessons learned. Topics include recruitment and staffing, wellness, funding, governance, data and EHR use and culture in an integrated model of care.

Integrated models of behavioral health in primary care

This resource list highlights presentations, reports and case studies of effective integrated mdoels of behavioral health in primary care settings and overviews key takeways for success.

Essential Elements of Effective Integrated Primary Care and Behavioral Health Teams

This review is an initial exploration of team development within effective integrated primary and behavioral healthcare teams. Six integrated teams in safety net primary care settings were interviewed on the development of the clinical team. The study identifies four essential elements for effective integrated behavioral health and primary care teams and provides a roadmap for […]

Why Design Thinking Works

While we know a lot about practices that stimulate new ideas, innovation teams often struggle to apply them. Why? Because people’s biases and entrenched behaviors get in the way. In this article a Darden professor explains how design thinking helps people overcome this problem and unleash their creativity.

Case Studies of the Health System’s Role in Addressing Social Determinants of Health

This 2018 AcademyHealth issue brief introduces four examples of state and local linkage of payment reform to addressing one or more social determinants of health. The cases include Burlington, VT (for homeless persons); Muskegon, MI; Cincinnati, OH (for pregnant women and infants); and Greenville, SC (for persons without health insurance). Comparing the sites, the brief […]

Coding Social Determinants of Health

Some health centers have been using the National Association of Community Health Center (NACHC) Protocol for Responding to and Assessing Patients’ Assets, Risks, and Experiences (PRAPARE) tool to document SDH data. This guide outlines existing ICD-10 z-codes that are a close match to questions in the PRAPARE tool to enable health centers to use structured data […]

Reducing Care Fragmentation: A Toolkit for Coordinating Care

This toolkit was created for clinics, practices, and health systems focused on improving care coordination by transforming the way they manage patient referrals and transitions.  Providing coordinated care is an essential feature of any patient-centered medical home (PCMH)— and one that can be challenging to implement.  This toolkit was developed to make it easier.

The Building Blocks of High Performing Primary Care

Although high performing primary care practices vary in size, resources, staffing, and populations served they exhibit surprising similarity in how they provide high quality, accessible, and patient-centered health care. These similarities led to the creation of the Building Blocks of High Performing Primary Care.  Developed by the UCSF Center for Excellence in Primary Care, the […]

Resources for People with Behavioral Health and Social Needs

A curated compendium site of resources maintained as part of The Better Care Playbook.

Addressing Social Needs That Impact Health

This resource page from the California Improvement Network (CIN), launched in June 2018, consists of a short list of relevant and timely resources to help health care organizations in this complex endeavor, regardless of the organization’s history of effort and investment.

From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider

Dr. Thomas Bodenheimer and colleagues propose that the goal embodied in the Triple Aim of improving the health of populations, enhancing the patient experience of care, and reducing the per capita cost of health care be joined by a fourth goal, improving the work life of health care providers, including clinicians and staff as a way to address burnout and coming shortages of personnel.

The Coach Medical Home Website

A website developed as a resource for practice facilitators as they work with practices to improve care quality, using the principles set out in the Safety Net Medical Initiative's Framework for Practice Transformation.

The Patient-Centered Medical Home Assessment

Developed as part of SNMHI, the PCMH-A helps sites to understand their current level of “medical homeness” and identify opportunities for improvement.

The Primary Care Team Guide

The Primary Care Team Guide is a module-based educational site directed at helping primary care teams deliver more accessible, higher quality, and more affordable care.

The Safety Net Medical Home Initiative

The Safety Net Medical Home Initiative (SNMHI) was a national Patient-Centered Medical Home (PCMH) demonstration to guide 65 primary care safety net sites to become high-performing medical homes and improve quality, efficiency and patient experience.

Health Centers and Payment Reform: A Primer

Health centers are strongly positioned to achieve the Triple Aim – improved patient experience and population health, with reduced total health system costs per capita – within low-income and underserved populations nationwide.