To enhance the capacity of FQHCs to improve care delivery for their patients, California’s Department of Health Care Services is pursuing a value-based, alternative payment methodology (APM) for its FQHCs.
Research indicates that integrated care management strategies such as health homes and evidence-based models such as Collaborative Care can improve outcomes for people with complex, co-morbid physical and behavioral health conditions while potentially reducing costs.
This case study examines the participation of Mosaic Medical Health Center in the Oregon Coordinated Care Organization (CCO) and in one of the most advanced health center alternative payment models in the country.
Through the State Innovation Model initiative, health home state plan option, and other Medicaid authorities, states have made significant investments to develop and implement payment and delivery system reforms that better integrate the physical and behavioral health systems.
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.
In 2017, health centers in Washington worked with the Washington Association of Community and Migrant Health Centers (WACMHC) and Washington State Medicaid (Health Care Authority or HCA) to launch a capitated FQHC APM that incorporates quality metrics.