To help clarify the way forward for small health centers un California and nationally, this paper presents a Model for Advancing High Performance (MAHP). Based on research and expert opinion, it describes the actions and infrastructure CHCs will need to thrive in this new environment and contribute to a sustainable primary care safety net that achieves the quintuple aim — better care, better health, lower costs, happier staff, and reduced health disparities.
This case study examines the experience of Southern Prairie, a 12-county collaboration in rural southwestern Minnesota that has facilitated the integration of health care services and community supports through accountable care approaches, which includes a Medicaid accountable care organization (ACO) and a nonprofit center that implements initiatives to address major population health issues.
