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.
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.
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.
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.
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.
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.
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.