This brief summarizes key challenges faced by the rural ambulatory safety net in delivering primary care and behavioral health services since COVID-19 and the policy changes that have been implemented in response to those challenges. It also offers state-level policy recommendations to improve rural-specific primary care and behavioral health care through sustaining and supporting the movement towards telehealth, addressing social needs, and advancing value-based payment and care.
This brief describes describes four key outcomes of the first phase of the Delta Center, which funded 12 state teams for its first cohort of the State Learning & Action Collaborative. Relationships built through the Delta Center helped support the safety net’s initial response to COVID-19 and will continue to contribute to greater alignment between primary care and behavioral health in future policy and practice changes.
To provide the best possible care to patients and thrive in new payment environments, community health centers (CHCs) and community behavioral health organizations (CBHOs)— two pillars of the safety net—are redesigning their workflows, infrastructure, and partnerships.
As the first and only health center-led Medicare Accountable Care Organizations (ACOs) in California, and one of a growing number of provider-led safety-net ACOs nationwide, Redwood Community Care Organization (RCCO) is an example of an early foray into accountable care in the safety net.
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.